Organization Active NPI

Mdtel Health

  • Case Management Agency
  • San Diego, CA
National Provider Identifier
1154178549
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MDTEL HEALTH
Doing business as
MDTel Health
Practice address
438 Camino del Rio S Ste 118
San Diego, CA 92108-3546
Phone
(619) 310-3633
NPI assigned
May 2, 2024
Last updated
May 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Authorized official

Name
Jeremie MeyersNPI 1922814961
Title
Ceo
Phone
(619) 310-3633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

438 Camino del Rio S Ste 118
San Diego, CA 92108-3546

Mailing address

438 Camino del Rio S Ste 118
San Diego, CA 92108-3546
Phone (619) 310-3633

Other names 1

  • MDTel Health Doing business as

National Provider Directory

National Provider Directory

Locations

438 Camino del Rio S
Ste 118
San Diego, CA 92108
Phone (619) 310-3633

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1154178549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 CAMINO DEL RIO S STE 118",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083546",
            "telephone_number": "619-310-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 CAMINO DEL RIO S STE 118",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083546",
            "telephone_number": "619-310-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDTEL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "JEREMIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-310-3633"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MDTel Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.