Individual provider Active NPI

Lesly Giselle Aguilar Tabora

  • Neurology Physician
  • La Jolla, CA
National Provider Identifier
1467638601
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A106980 Issued in CA
Practice address
9888 Genesee Ave
La Jolla, CA 92037-1205
Phone
(619) 754-4955
Fax
(619) 785-3296
NPI assigned
Jan 17, 2008
Last updated
Oct 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X M6998 TX
Neurology Physician 2084N0400X ME107506 FL
Neurology Physician 2084N0400X A106980 CA Primary

Addresses

Primary practice location

9888 Genesee Ave
La Jolla, CA 92037-1205

Mailing address

153 S Sierra Ave
Unit 1494
Solana Beach, CA 92075-8061
Phone (619) 754-4955

Other identifiers 1

IdentifierTypeStateIssuer
192403701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA, OK, GA, KY, IN, SD, TN8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20080514000473 TX Practitioner - Neurology 1759450984 Reassigns benefits to 1 organization
I20120601000485 CA Practitioner - Neurology 1759450984 Reassigns benefits to 3 organizations
Practice locations: La Jolla, CA
I20230719004351 OK Practitioner - Neurology 1759450984 Reassigns benefits to 1 organization
I20240821002997 GA Practitioner - Neurology 1759450984 Reassigns benefits to 2 organizations
I20241010002130 KY Practitioner - Neurology 1759450984 Reassigns benefits to 1 organization
I20241025000525 IN Practitioner - Neurology 1759450984 Reassigns benefits to 1 organization
I20250328000720 SD Practitioner - Neurology 1759450984 Reassigns benefits to 1 organization
I20250411002860 TN Practitioner - Neurology 1759450984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians
Access Telecare California PCGroup PAC ID 8325373525, 86 clinicians
Baptist Health Medical Group IncGroup PAC ID 5597867184, shared by 31 NPIs, 2,431 clinicians
Piedmont Hospitalist Physicians LLCGroup PAC ID 1951299163, 503 clinicians

Practice addresses (Care Compare)

Chancellor, SD 57015
Phone (972) 449-0540

Oklahoma City, OK 73106
Phone (972) 449-0540

Spring, TX 77382
Phone (972) 449-0540

Shenandoah, TX 77384
Phone (972) 449-0540

San Antonio, TX 78255
Phone (972) 449-0540

Austin, TX 78704
Phone (972) 449-0540

Del Mar, CA 92014
Phone (972) 449-0540

San Diego, CA 92123
Phone (972) 449-0540

10820 Parkside Dr
Knoxville, TN 37934-1956
Phone (972) 449-0540

11113 Research Blvd
Austin, TX 78759-5236
Phone (972) 449-0540

1201 Hill Rd
Smithville, TX 78957-9533
Phone (972) 449-0540

1310 Paluxy Rd
Granbury, TX 76048-5655
Phone (972) 449-0540

1325 S Cliff Ave
Sioux Falls, SD 57105-1007
Phone (942) 449-0540

1501 Burnet Rd
Brownwood, TX 76801-8520
Phone (972) 449-0540

1625 Medical Ctr Dr
El Paso, TX 79902-5005
Phone (972) 449-0540

1720 Nicholasville Rd
Suite 601
Lexington, KY 40503-1451
Phone (859) 277-5887

1800 W University Blvd
Durant, OK 74701-3006
Phone (972) 449-0540

1850 State St
New Albany, IN 47150-4990
Phone (812) 542-4921

1900 Pine St
Abilene, TX 79601-2432
Phone (972) 449-0540

2001 N Oregon St
El Paso, TX 79902-3320
Phone (972) 449-0540

2100 S Marion Rd
Sioux Falls, SD 57106-3646
Phone (972) 449-0540

2305 Chambliss Ave NW
Cleveland, TN 37311-3847
Phone (972) 449-0540

305 S State St
Aberdeen, SD 57401-4527
Phone (972) 449-0540

400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Phone (972) 449-0540

500 N Highland Ave
Sherman, TX 75092-7354
Phone (972) 449-0540

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A106980CAMDNeurology Physician
ME107506FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince May 10, 2021 Accepting new patients
Morgan County Georgia Hospital Authority Current Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince May 10, 2021 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Oct 23, 2015 Accepting new patients
Scripps Health Current Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2024 Accepting new patients
Piedmont Hospitalist Physicians LLC CurrentSince Jun 27, 2024 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Jun 27, 2024 Accepting new patients
Baptist Health Medical Group Inc Neurology CurrentSince Oct 1, 2024 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Jun 27, 2024 Accepting new patients
Access Telecare California, P.C. Neurology CurrentSince Mar 1, 2021 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2024 Accepting new patients
Baylor College of Medicine Past Accepting new patients
Baylor College of Medicine Neurology Past Accepting new patients

Locations

400 Old River Rd
Bakersfield, CA 93311
Phone (661) 663-6000

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

1515 E Ocean Ave
Lompoc, CA 93436
Phone (805) 737-3300

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

2929 Health Center Dr
San Diego, CA 92123
Phone (858) 939-6531

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

707 Center St
Ste 110
Columbus, GA 31901
Phone (706) 494-4300

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

1720 Nicholasville Rd
Ste 601
Lexington, KY 40503

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

1901 Campus Pl
Louisville, KY 40299
Phone (502) 253-4911

Interoperability endpoints

  • Direct secure messaging: laguilartabora34875@scrippshlth.medalliesdirect.net
  • Direct secure messaging: leslyaguilartabora@mmc.medalliesdirect.net

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1467638601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 S SIERRA AVE",
            "address_2": "UNIT 1494",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920758061",
            "telephone_number": "619-754-4955",
            "fax_number": "619-785-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9888 GENESEE AVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371205",
            "telephone_number": "619-754-4955",
            "fax_number": "619-785-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILAR TABORA",
        "first_name": "LESLY",
        "middle_name": "GISELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-17",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "M6998",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME107506",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A106980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192403701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.