NPIMap

Organization Active NPI

Tele-Medicine Services Ny, PLLC

  • Internal Medicine Physician
  • Roseville, CA
National Provider Identifier
1609663780
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TELE-MEDICINE SERVICES NY, PLLC
Practice address
3400 Douglas Blvd Ste 170
Roseville, CA 95661-4281
Phone
(916) 740-3721
NPI assigned
Apr 22, 2025
Last updated
Apr 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Authorized official

Name
Surinder Tatla
Title
Director of Credentialing
Phone
(916) 302-4635

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

3400 Douglas Blvd Ste 170
Roseville, CA 95661-4281

Mailing address

PO Box 980753
West Sacramento, CA 95798-0753
Phone (916) 740-3721

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 273

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 273

NPI Registry JSON

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

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1609663780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 980753",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "957980753",
            "telephone_number": "916-740-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 DOUGLAS BLVD STE 170",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614281",
            "telephone_number": "916-740-3721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELE-MEDICINE SERVICES NY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "TATLA",
        "authorized_official_first_name": "SURINDER",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "916-302-4635"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.