Individual provider Active NPI

Connor James Telles, MD

  • Orthopaedic Surgery Physician
  • Fresno, CA
National Provider Identifier
1053595280
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A115099 Issued in CA
Practice address
1630 E Herndon Ave
Fresno, CA 93720-3391
Phone
(559) 256-5200
Fax
(559) 256-5376
NPI assigned
Dec 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A115099 CA Primary

Addresses

Primary practice location

1630 E Herndon Ave
Fresno, CA 93720-3391

Mailing address

1630 E Herndon Ave
Fresno, CA 93720-3391
Phone (559) 256-5200

Other practice location 1

1270 E Spruce Ave
Fresno, CA 93720-3312
Phone (559) 256-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110930000314 CA Practitioner - Orthopedic Surgery 2163694886 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Yale University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Foundation Medical GroupGroup PAC ID 0345406294, 282 clinicians
Sierra Pacific Orthopaedic Center Medical Group, Inc.Group PAC ID 8426941105, 28 clinicians
Southern Mono Health Care DistrictGroup PAC ID 9830002401, 94 clinicians

Practice addresses (Care Compare)

1303 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 450-3000

1630 E Herndon Ave
Fresno, CA 93720-3391
Phone (559) 290-7051

2335 E Kashian LN
Fresno, CA 93701-2234

85 Sierra Park Rd
Mammoth Lakes, CA 93546-2073
Phone (760) 934-3311

Hospital & facility affiliations

  • Fresno Surgical Hospital Hospital, Fresno, CA, CCN 050708
  • Mammoth Hospital Hospital, Mammoth Lakes, CA, CCN 051303
  • Clovis Community Medical Center Hospital, Clovis, CA, CCN 050492
  • Northern Inyo Hospital Hospital, Bishop, CA, CCN 051324
  • Saint Agnes Medical Center Hospital, Fresno, CA, CCN 050093

Merit-based Incentive Payment System (MIPS)

Final score
90.41 of 100Reported as group
Quality
87.02
Promoting interoperability
100
Improvement activities
40
Cost
78.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion557
Laminectomy or laminotomy (partial removal of spine bones)31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Mono Health Care District CurrentSince Dec 1, 2024 Accepting new patients
Sierra Pacific Orthopaedic Center Medical Group, Inc. CurrentSince Sep 1, 2012 Accepting new patients
Community Foundation Medical Group CurrentSince Apr 1, 2021 Accepting new patients
Community Foundation Medical Group Orthopaedic Surgery CurrentSince Apr 1, 2021 Accepting new patients
Sierra Pacific Orthopaedic Center Medical Group Inc CurrentSince Sep 1, 2012 Accepting new patients
Fresno Surgery Center LP Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients

Locations

1630 E Herndon Ave
Fresno, CA 93720
Phone (559) 256-5200

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

1270 E Spruce Ave
Fresno, CA 93720
Phone (559) 256-5200

Interoperability endpoints

  • Direct secure messaging: connor.telles.p1@direct.spocortho.nextgenshare.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1053595280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 E HERNDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203391",
            "telephone_number": "559-256-5200",
            "fax_number": "559-256-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 E HERNDON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203391",
            "telephone_number": "559-256-5200",
            "fax_number": "559-256-5376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1270 E Spruce Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937203312",
            "country_code": "US",
            "telephone_number": "559-256-5200",
            "fax_number": "559-256-5376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TELLES",
        "first_name": "CONNOR",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-24",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A115099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.