Individual provider Active NPI

Andres Taleisnik, MD

  • Surgery of the Hand (Plastic Surgery) Physician
  • Orange, CA
National Provider Identifier
1396798195
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
License
G68244 Issued in CA
Practice address
1310 W Stewart Dr Ste 410
Orange, CA 92868-3855
Phone
(714) 538-8549
Fax
(714) 538-1547
NPI assigned
May 19, 2006
Last updated
Aug 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X G68244 CA Primary

Addresses

Primary practice location

1310 W Stewart Dr Ste 410
Orange, CA 92868-3855

Mailing address

1310 W Stewart Dr Ste 410
Orange, CA 92868-3855
Phone (714) 538-8549

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100315000203 CA Practitioner - Hand SurgeryPractitioner - Plastic and Reconstructive Surgery 3072668078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Plastic and Reconstructive Surgery
Education
University of California, Geffen School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orange Orthopedic Medica GP Inc the Providence BLDGGroup PAC ID 2961441852, 10 clinicians

Practice addresses (Care Compare)

1310 W Stewart Dr
Suite 410
Orange, CA 92868-3855
Phone 7145388549103

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.89 of 100Reported as group
Quality
79.31
Promoting interoperability
87
Improvement activities
40
Cost
72.2

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Orthopedic Medica GP, Inc. the Providence BLDG CurrentSince Jan 1, 2020 Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients

Locations

1310 W Stewart Dr
Ste 408
Orange, CA 92868
Phone (714) 639-9401

1310 W Stewart Dr
Ste 410
Orange, CA 92868
Phone (714) 538-8549

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1396798195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 W STEWART DR STE 410",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683855",
            "telephone_number": "714-538-8549",
            "fax_number": "714-538-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 W STEWART DR STE 410",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683855",
            "telephone_number": "714-538-8549",
            "fax_number": "714-538-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALEISNIK",
        "first_name": "ANDRES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "CA",
            "license": "G68244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.