Active NPI
Brian Nabil Talleur, MD
- Addiction Medicine (Family Medicine) Physician
- Atascadero, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- A154190
- Practice address
- 6500 Morro Rd Ste C&D
Atascadero, CA 93422-4142 - Phone
- (805) 461-5212
- NPI assigned
- Apr 23, 2014
- Last updated
- Oct 31, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | A154190 | CA | Primary |
Addresses
Primary practice location
6500 Morro Rd Ste C&D
Atascadero, CA 93422-4142
Mailing address
230 Canyon Way
Arroyo Grande, CA 93420-2343
Phone (805) 402-4289
Other practice location 1
441 S Ham Ln
Lodi, CA 95242-3525
Phone (818) 389-8520
Other practice location 2
652 Timberwood Loop
Madisonville, LA 70447-3038
Phone (805) 402-4289
Other practice location 3
1133 Coloma Way Ste C
Roseville, CA 95661-4480
Phone (818) 389-8520
Other practice location 4
3707 E Shields Ave
Fresno, CA 93726-7029
Phone (559) 229-9040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A154190 | CA | MD | Addiction Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aegis Treatment Centers, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Methadone Clinic
- Canoga Park, CA
- NPI 1831601764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698710400000",
"number": "1659791101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 CANYON WAY",
"city": "ARROYO GRANDE",
"state": "CA",
"postal_code": "934202343",
"telephone_number": "805-402-4289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 MORRO RD STE C&D",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "934224142",
"telephone_number": "805-461-5212"
}
],
"practiceLocations": [
{
"address_1": "441 S Ham Ln",
"address_purpose": "LOCATION",
"city": "Lodi",
"state": "CA",
"postal_code": "952423525",
"country_code": "US",
"telephone_number": "818-389-8520",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "652 Timberwood Loop",
"address_purpose": "LOCATION",
"city": "Madisonville",
"state": "LA",
"postal_code": "704473038",
"country_code": "US",
"telephone_number": "805-402-4289",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1133 Coloma Way Ste C",
"address_purpose": "LOCATION",
"city": "Roseville",
"state": "CA",
"postal_code": "956614480",
"country_code": "US",
"telephone_number": "818-389-8520",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3707 E Shields Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937267029",
"country_code": "US",
"telephone_number": "559-229-9040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TALLEUR",
"first_name": "BRIAN",
"middle_name": "NABIL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-23",
"last_updated": "2023-10-31",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "CA",
"license": "A154190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atascadero, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.