Teobaldo Praslin, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA16899 Issued in CA

Practice address

3410 Whittier Blvd
Los Angeles, CA 90023-1708

Phone

(323) 265-3060

Fax

(323) 266-8300

NPI assigned

Sep 18, 2007

Sex

Male

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

Enrolled in CA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: teobaldo.praslin.p7@direct.caremorewest.nextgenshare.com
• Direct secure messaging: teobaldo.praslin.1@32527.direct.athenahealth.com

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.

• Dalia Dawoud MD Inc

  • Urgent Care Clinic/Center
  • Chino Hills, CA
  • NPI 1437867900
  Medicare reassignment NPD
• Dalia Dawoud MD Inc

  • Urgent Care Clinic/Center
  • Rancho Santa Margarita, CA
  • NPI 1639990492
  NPD (past)
• Santa Teresita Medical Clinic Group Inc

  • Specialist
  • Los Angeles, CA
  • NPI 1932425899
  NPD (past)

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190073600000",
    "number": "1285820985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900231708",
            "telephone_number": "323-265-3060",
            "fax_number": "323-266-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900231708",
            "telephone_number": "323-265-3060",
            "fax_number": "323-266-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASLIN",
        "first_name": "TEOBALDO",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA16899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajendra Prasad, M.D.
• Sessie Puthenpurayil Prasad, LCSW
• Sridhar Kasinadhuni Prasad, MD
• Vijay Prasad, MD
• Karolina Praskeviciute, MD
• Jason Evan Prasso, M.D.
• Raquel Prati, MD
• Pratik Mehta M.D., Inc.
• Kerrie Pratt, D.C.
• Robert Edwin Pratt, DPT

• Medical Physician Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.