Organization Active NPI

Thomas E. Teske, M.D., Inc

  • Neurology Physician
  • El Centro, CA
National Provider Identifier
1548562986
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G65518 Issued in CA
Legal business name
THOMAS E. TESKE, M.D., INC
Practice address
1745 South Imperial Avenue
Suite 101
El Centro, CA 92243-4243
Phone
(760) 337-4100
Fax
(760) 337-4101
NPI assigned
Nov 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Authorized official

Name
Mr. Thomas E. Teske, M.D.
Title
President
Phone
(760) 337-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X G65518 CA Primary

Addresses

Primary practice location

1745 South Imperial Avenue
Suite 101
El Centro, CA 92243-4243

Mailing address

1745 South Imperial Avenue
Suite 101
El Centro, CA 92243-4243
Phone (760) 337-4100

Other identifiers 1

IdentifierTypeStateIssuer
00G655181MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1548562986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 SOUTH IMPERIAL AVENUE",
            "address_2": "SUITE 101",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434243",
            "telephone_number": "760-337-4100",
            "fax_number": "760-337-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 SOUTH IMPERIAL AVENUE",
            "address_2": "SUITE 101",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434243",
            "telephone_number": "760-337-4100",
            "fax_number": "760-337-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS E. TESKE, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "TESKE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-337-4100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G65518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G655181",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.