NPIMap

Individual provider Active NPI

Jessica Tekla Les, MD

  • Family Medicine Physician
  • Santa Rosa, CA
National Provider Identifier
1487898334
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A114063 Issued in CA
Practice address
3569 Round Barn Cir
Santa Rosa, CA 95403
Phone
(707) 303-3600
Fax
(707) 303-3611
NPI assigned
Apr 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A114063 CA Primary

Addresses

Primary practice location

3569 Round Barn Cir
Santa Rosa, CA 95403

Mailing address

3569 Round Barn Cir Ste 200
Santa Rosa, CA 95403
Phone (707) 583-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230710002842 CA Practitioner - Family Practice 4486875945 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Stanford University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

121 Sotoyome St
Suite 203
Santa Rosa, CA 95405-4822
Phone (707) 546-3141

Hospital & facility affiliations

  • Providence Santa Rosa Memorial Hospital Hospital, Santa Rosa, CA, CCN 050174
  • Petaluma Valley Hospital Hospital, Petaluma, CA, CCN 050136
  • Sonoma Valley Hospital Hospital, Sonoma, CA, CCN 050090
  • Providence St Joseph Hospital Hospital, Eureka, CA, CCN 050006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A114063CAMDFamily Medicine Physician
114063CAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Rosa Community Health Centers CurrentSince Sep 12, 2024 Accepting new patients
Santa Rosa Community Health Centers Current Accepting new patients
Providence Medical Foundation Family Medicine CurrentSince Jun 27, 2023 Accepting new patients
Santa Rosa Community Health Centers CurrentSince Sep 12, 2024 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation CurrentSince Jun 27, 2023 Accepting new patients
Sutter West Bay Medical Foundation Family Medicine Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Providence Medical Foundation Family Medicine Past Accepting new patients

Locations

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

3569 Round Barn Cir
Santa Rosa, CA 95403

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

3569 Round Barn Cir
Ste 200
Santa Rosa, CA 95403
Phone (707) 583-8800

121 Sotoyome St
Ste 203
Santa Rosa, CA 95405
Phone (707) 525-4080

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

Organizations & group practices 10

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.

Hospital & facility affiliations 6

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": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1487898334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3569 ROUND BARN CIR STE 200",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95403",
            "telephone_number": "707-583-8800",
            "fax_number": "707-583-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3569 ROUND BARN CIR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95403",
            "telephone_number": "707-303-3600",
            "fax_number": "707-303-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LES",
        "first_name": "JESSICA",
        "middle_name": "TEKLA",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-22",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A114063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.