Active NPI
Lucrecia Tellez
- Rehabilitation Practitioner
- Indio, CA
National Provider Identifier
1376794669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 81557 Dr Carreon Blvd Ste C9
Indio, CA 92201-5562 - Phone
- (760) 391-6999
- Fax
- (760) 391-6998
- NPI assigned
- Oct 4, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Community Health Worker | 172V00000X | CA | ||
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
81557 Dr Carreon Blvd Ste C9
Indio, CA 92201-5562
Mailing address
81557 Dr Carreon Blvd Ste C9
Indio, CA 92201-5562
Phone (760) 391-6999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oasis Behavioral Health, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Banning, CA
- NPI 1093388480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749081600000",
"number": "1376794669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81557 DR CARREON BLVD STE C9",
"city": "INDIO",
"state": "CA",
"postal_code": "922015562",
"telephone_number": "760-391-6999",
"fax_number": "760-391-6998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81557 DR CARREON BLVD STE C9",
"city": "INDIO",
"state": "CA",
"postal_code": "922015562",
"telephone_number": "760-391-6999",
"fax_number": "760-391-6998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELLEZ",
"first_name": "LUCRECIA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-04",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indio, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.