Active NPI
Lesly Giselle Aguilar Tabora
- Neurology Physician
- La Jolla, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A106980
- 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, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 192403701 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, CA, OK, GA, KY, IN, SD, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 8
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
- Baptist Health Medical Group Inc
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| A106980 | CA | MD | Neurology Physician |
| ME107506 | FL | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharp Rees-Stealy Medical Group, Inc | Current | Accepting new patients | |
| Morgan County Georgia Hospital Authority | Current | Accepting new patients | |
| Sharp Rees-Stealy Medical Group, Inc | Current | Accepting new patients | |
| Emergency and Acute Care Medical Corporation | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Piedmont Hospitalist Physicians LLC | Current | Accepting new patients | |
| Columbus Ambulatory Healthcare Services, Inc. | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Neurology | Current | Accepting new patients |
| Columbus Ambulatory Healthcare Services, Inc. | Current | Accepting new patients | |
| Access Telecare California, P.C. | Neurology | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | 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
- laguilartabora34875@scrippshlth.medalliesdirect.net
- 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.
-
- Family Medicine Physician
- Columbus, GA
- NPI 1790733244
-
- Family Medicine Physician
- Stockbridge, GA
- NPI 1548219660
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1285616177
-
- Nurse Practitioner
- Lexington, KY
- NPI 1518360296
-
dba Scripps Hospital Medical Services
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Optometrist
- San Diego, CA
- NPI 1063172351
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1780961300
Neurology
-
dba Dawson Springs Rural Health Clinic
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.