Telehealth Specialty Medical Group
Organization Active NPI Emergency Medicine Physician · Roseville, CA
NPI 1326338237 · NPPES record last updated Mar 30, 2026
Key facts
- NPI
- 1326338237
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- TELEHEALTH SPECIALTY MEDICAL GROUP
- Practice address
- 3400 Douglas Blvd Ste 225
Roseville, CA 95661-4283 - Phone
- (916) 740-3721
- Fax
- (916) 783-0513
- NPI assigned
- Apr 12, 2011
- Organization subpart
- No
Authorized official
- Name
- Ravi Patel, DO
- Title
- Owner
- Phone
- (800) 792-5972
Practitioners 221
-
Nida Ali, M.D.
-
Jean Claude Bassila, M.D.
-
Aditi Bhaduri, M.D.
-
Melissa Sue Butts, D.O.
-
Devin T Callister, M.D.
-
Chiayu Chen, MD
-
Tina Francis Chen, PMHNP, RN
-
Will Woosuk Choi, DO
-
Vincent Anthony Covelli, D.O.
-
Sydney Cutchon, PA-C
-
Mrinal Dhar, MD
-
Joshpaul Dhillon, MD
-
Monsita Josefa Faley, FNP
-
Vilma Ferrer, NP
-
Lana Gafter, M.D.
-
Richard Granese, M.D.
-
Manan A Jhaveri, MD
-
Amitpal Singh Kohli, M.D.
-
Chae Young Kwon, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120509000349 | CA | Part B Supplier - Clinic/Group Practice | 9830351824 |
Receives reassigned benefits from 212 practitioners Practice locations: Roseville, CA; Rancho Cucamonga, CA |
National Provider Directory
Locations
9471 Haven Ave
Rancho Cucamonga, CA 91730
3400 Douglas Blvd
Ste 22
Roseville, CA 95661
3009 Douglas Blvd
Ste 100
Roseville, CA 95661
Phone (916) 740-3721
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes | ||
| Infectious Disease Physician |
207RI0200X | CA | ||
| Infectious Disease Physician |
207RI0200X |
Addresses
Primary practice location
3400 Douglas Blvd Ste 225
Roseville, CA 95661-4283
Mailing address
3400 Douglas Blvd Ste 170
Roseville, CA 95661-4281
Phone (916) 740-3721
Other names
- Telemed2U
Other providers in Roseville, CA
- Ashley Tedford
- Carl Eric Tedrow
- Ozlem Tekelioglu
- Telcare Corporation
- Tele-Medicine Services Ny, PLLC
- Telemedicine Group de
- Abiolah Telesford
- Stephanie Tellez
- Jennifer Templin
- Tender Care Services
All providers in Roseville, CA · Emergency Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.