Active NPI
William L. Tellez, M.D.
- Anesthesiology Physician
- Oxnard, CA
National Provider Identifier
1073534400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A38107
- Practice address
- 1600 N Rose Ave
Oxnard, CA 93030-3722 - Phone
- (805) 988-2818
- NPI assigned
- Jul 21, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A38107 | CA | Primary |
Addresses
Primary practice location
1600 N Rose Ave
Oxnard, CA 93030-3722
Mailing address
3116 W March LN
Suite 200
Stockton, CA 95219-2369
Phone (209) 473-6555
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050076396 | Other | RAILROAD MEDICARE | |
| 00A381070 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38107 | CA | MD | Dentist |
| A38107 | CA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486339200000",
"number": "1073534400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3116 W MARCH LN",
"address_2": "SUITE 200",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952192369",
"telephone_number": "209-473-6555",
"fax_number": "209-473-6544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 N ROSE AVE",
"city": "OXNARD",
"state": "CA",
"postal_code": "930303722",
"telephone_number": "805-988-2818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELLEZ",
"first_name": "WILLIAM",
"middle_name": "L.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2017-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A38107",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "050076396",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A381070",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.