MR. TEDDY DESHA MCDONALD
NPI 1871737247
Case Manager/Care Coordinator in San Jose, CA

Q: What is Teddy Mcdonald's NPI number?

The NPI number for Teddy Mcdonald is 1871737247. It was assigned to this individual provider in the NPPES registry on April 28, 2009. The provider is also known as Mr. Ted Desha Mcdonald.

Q: What is Teddy Mcdonald's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Teddy Mcdonald was last updated on April 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 28, 2009

2001 THE ALAMEDA, SAN JOSE, CA 95126(408) 261-7777 Get Directions Write a Review

NPPES record last updated: April 28, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Teddy Desha Mcdonald NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TEDDY DESHA MCDONALD (NPI 1871737247) is an individual case manager/care coordinator provider in San Jose, California and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1871737247

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameMR. TEDDY DESHA MCDONALD

Location Address2001 THE ALAMEDASan Jose, CA 95126-1136

Mailing Address6088 Monterey Hwy Apt 302San Jose, CA 95138-1758 · (209) 509-6842

Phone(408) 261-7777

Sole ProprietorYes

Enumeration DateApril 28, 2009

✔ NPI 1871737247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

2001 THE ALAMEDA, San Jose, CA 95126

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Other Names 1

Other Name (5)Mr. Ted Desha Mcdonald

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDNA STOK

Student in an Organized Health Care Education/Training Program