Active NPI
Andrew Tzellas, M.D
- Internal Medicine Physician
- Napa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C183605
- Practice address
- 1141 Pear Tree LN Ste 100
Napa, CA 94558-6485 - Phone
- (707) 254-1770
- NPI assigned
- Oct 16, 2006
- Last updated
- Nov 27, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | 236059 | NY | |
| Family Medicine Physician | 207Q00000X | 236059 | NY | |
| Internal Medicine Physician | 207R00000X | 052165 | CT | |
| Internal Medicine Physician | 207R00000X | C183605 | CA | Primary |
Addresses
Primary practice location
1141 Pear Tree LN Ste 100
Napa, CA 94558-6485
Mailing address
1 Gold St Apt 5G
Hartford, CT 06103-2930
Phone (917) 885-9048
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008045654 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 236059 | NY | MD | Family Medicine Physician |
| C183605 | CA | MD | Internal Medicine Physician |
| 052165 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Centers of San Diego, Inc | Multi-Specialty | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Northwest | Family Medicine | Current | Accepting new patients |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Multi-Specialty | Current | Accepting new patients |
| Family Health Centers of San Diego, Inc. | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Union Health Center | Family Medicine | Past | Accepting new patients |
| Clallam County Public Hospital District 2 | Past | Accepting new patients | |
| Ole Health | Multi-Specialty | Past | Accepting new patients |
Locations
1111 W Chase Ave
El Cajon, CA 92020
Phone (619) 515-2499
1809 National Ave
San Diego, CA 92113
Phone (619) 515-2500
823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323
7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051
1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801
7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000
Interoperability endpoints
- atzellas704149@direct.ochin.org
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Logan Heights Family Health Center
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1447281936
Multi-Specialty
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
Family Medicine, WA
-
dba Chase Avenue Family Health Center
- Federally Qualified Health Center (FQHC)
- El Cajon, CA
- NPI 1104861681
Multi-Specialty
-
dba Escondido Physical Health and Wellness
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1356178180
-
dba El Cajon Family Health Center
- Federally Qualified Health Center (FQHC)
- El Cajon, CA
- NPI 1932561198
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
-
dba CommuniCare OLE
- Federally Qualified Health Center (FQHC)
- Davis, CA
- NPI 1558366823
Multi-Specialty
-
dba Olympic Medical Home Health
- Home Health Agency
- Port Angeles, WA
- NPI 1437259165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1003996042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GOLD ST APT 5G",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061032930",
"telephone_number": "917-885-9048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1141 PEAR TREE LN STE 100",
"city": "NAPA",
"state": "CA",
"postal_code": "945586485",
"telephone_number": "707-254-1770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TZELLAS",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2023-11-27",
"certification_date": "2023-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NY",
"license": "236059",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "236059",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "052165",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "C183605",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008045654",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.