TRACEY L. TELLES (NPI# 1871671966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871671966 |
| Entity Type | Individual |
| Full Name | TRACEY L. TELLES |
| Credential | MD |
| Practice Address |
320 Lennon Ln Walnut Creek CA 94598-2419 |
| Mailing Address |
1800 Harrison St Fl 7 Oakland CA 94612-3429 |
| Practice Telephone | 9259062000 |
| Mailing Telephone | 5106256262 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
G84645 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G846450 | 05 |
| Street Address |
320 LENNON LN |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598-2419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700881661 | Ethan Matthew Kutzscher | Ophthalmology | 320 Lennon Ln, Walnut Creek, CA 94598 | 2005-06-16 |
| 1487141974 | Siobhan Mark | Speech-Language Pathologist | 320 Lennon Ln, Walnut Creek, CA 94598-2419 | 2018-04-19 |
| 1649701202 | Margaret Rubio | Pharmacist | 320 Lennon Ln, Walnut Creek, CA 94598-2419 | 2017-03-24 |
| 1427589084 | Belinda Danielson | Pharmacist | 320 Lennon Ln, Walnut Creek, CA 94598-2419 | 2017-03-24 |
| 1750812301 | Michael Sharp | Pharmacist | 320 Lennon Ln, Walnut Creek, CA 94598-2419 | 2017-03-24 |
| 1336670298 | Zhuo Li | Pharmacist | 320 Lennon Ln, Walnut Creek, CA 94598-2419 | 2017-03-22 |
| 1093269573 | Sean Anthony Robinson | Physical Therapist | 320 Lennon Ln, Shasta Bldg #4, Walnut Creek, CA 94598-2410 | 2016-08-12 |
| 1003294794 | Linda Marie Heckenlively | Speech-Language Pathologist | 320 Lennon Ln, Walnut Creek, CA 94598-2419 | 2015-05-13 |
| 1215282207 | Lakshmi Sowjanya Mallela | Internal Medicine | 320 Lennon Ln, Walnut Creek, CA 94598-2419 | 2012-07-17 |
| 1942576384 | David Chien-yuan Kung | Optometrist | 320 Lennon Ln, Optometry, Walnut Creek, CA 94598-2419 | 2012-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
| 1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
| Find all providers in zip 94598 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235128315 | Clemens Martin Grosskinsky | Obstetrics & Gynecology | 320 Lennon Ln, Lassen Building, 2nd Floor, Suite 5b, Walnut Creek, CA 94598-2419 | 2005-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396363552 | Global Premier Fertility - Orange County PC Dba Rise Fertility | Obstetrics & Gynecology | 3333 W Coast Hwy Ste 300, Newport Beach, CA 92663-4058 | 2020-07-13 |
| 1326665621 | Reproductive Medicine Associates of San Diego | Obstetrics & Gynecology | 4510 Executive Dr Ste 150, San Diego, CA 92121-2155 | 2020-07-02 |
| 1861958985 | Lin Fertility Ivf Network, Inc. | Obstetrics & Gynecology | 400 E Rincon St Ste 108, Corona, CA 92879-1389 | 2019-02-13 |
| 1235646985 | Los Angeles Reproductive Center | Obstetrics & Gynecology | 16055 Ventura Blvd Ste 1127, Encino, CA 91436-2612 | 2018-01-03 |
| 1033575956 | Lane Fertility Institute | Obstetrics & Gynecology | 101 Rowland Way Ste 305, Novato, CA 94945-5056 | 2016-01-07 |
| 1992065692 | Tracy Nicole Hadnott Harrison | Obstetrics & Gynecology | 9500 Gilman Drive #0633, La Jolla, CA 92093-0633 | 2012-05-29 |
| 1043584956 | Harvey S Richmond A Prof Corp | Obstetrics & Gynecology | 8631 W. Third St, #240e, Los Angeles, CA 90048 | 2012-02-24 |
| 1992088926 | Scott J Morin | Obstetrics & Gynecology | 150 Spear St Ste 500, San Francisco, CA 94105-1537 | 2011-09-26 |
| 1477846095 | Tannaz Toloubeydokhti | Obstetrics & Gynecology | 9500 Gilman Dr Dept 633, La Jolla, CA 92093-0633 | 2011-05-16 |
| 1770883050 | Homayoun Sadeghi, Md Inc | Obstetrics & Gynecology | 312 S. Beverly Drive #3861, Beverly Hills, CA 90212-0861 | 2010-11-02 |
| Find all providers with the same taxonomy | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
Please comment or provide details below to improve the information on TRACEY L. TELLES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.