Iris Chantal Tejeda, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

95026885 Issued in CA

Practice address

2330 Colorado Ave
Turlock, CA 95382-2013

Phone

(209) 250-2530

NPI assigned

Oct 2, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Iris Chantal Guerra Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1265212997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4513 BRIANNA CT",
            "city": "KEYES",
            "state": "CA",
            "postal_code": "953289703",
            "telephone_number": "209-556-8348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 COLORADO AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822013",
            "telephone_number": "209-250-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJEDA",
        "first_name": "IRIS",
        "middle_name": "CHANTAL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95026885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRIS",
            "last_name": "GUERRA",
            "middle_name": "CHANTAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stacy Tavares, IBCLC
• Sarah Taylor
• Chauniece Teixeira
• Luis Neto Teixeira, D.M.D.
• Ilse Jazmin Tejeda, PA, PA-C
• Juan Tejeda III
• Tellme, a Professional Licensed Clinical Social Worker Corporation
• Matews Seezar Tematews
• Michael G Temnyk, MD
• Anjani Kumar Thakur, M.D.

• Adult Health Nurse Practitioner in Turlock, CA
• Providers in Turlock, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.

Verify at the official NPI Registry.