Michelle Ganangan Tello

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

629830 Issued in CA

Practice address

655 Park Center Dr
Santee, CA 92071-6957

Phone

(619) 596-5500

NPI assigned

Mar 20, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1194229757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10108 CALLE MARINERO APT 66",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919777114",
            "telephone_number": "619-315-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 PARK CENTER DR",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920716957",
            "telephone_number": "619-596-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLO",
        "first_name": "MICHELLE",
        "middle_name": "GANANGAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "629830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debie Ai Taguchi, L.AC.
• Diana Taiz, DMD
• Wilson Tam
• Emmanuel Gonzales Tanay
• Carla Abigail Rumbaoa Tayag, LVN, RN
• Nicholas Adam Thacker, D.D.S.
• The Learning Choice Academy
• The Learning Choice Academy Chula Vista
• The Learning Choice Academy East County
• Alesha Marie Thomas

• Registered Nurse in Santee, CA
• Providers in Santee, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.