Raul Tellez Rodriguez, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95031897 Issued in CA

Practice address

451 E Almond Ave Ste 103
Madera, CA 93637-5562

Phone

(559) 673-4000

Fax

(559) 673-3661

NPI assigned

Aug 30, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Foundation Medical GroupGroup PAC ID 0345406294, 282 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Agnes Medical Center Hospital, Fresno, CA, CCN 050093
• Clovis Community Medical Center Hospital, Clovis, CA, CCN 050492

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Community Foundation Medical Group

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1811258510

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Community Foundation Medical Group

  • Orthopaedic Surgery Physician
  • Fresno, CA
  • NPI 1376056721
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fresno Community Hospital and Medical Center

  • General Acute Care Hospital
  • Clovis, CA
  • NPI 1316027709
  Care Compare affiliation
• Saint Agnes Medical Center

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1205845567
  Care Compare affiliation

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1679307797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7121 N WHITNEY AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200151",
            "telephone_number": "559-299-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 E ALMOND AVE STE 103",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375562",
            "telephone_number": "559-673-4000",
            "fax_number": "559-673-3661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7121 N Whitney Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937200151",
            "country_code": "US",
            "telephone_number": "559-299-9395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TELLEZ RODRIGUEZ",
        "first_name": "RAUL",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95031897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eddie A Tapia, DMD
• Keenia Tappin, MD
• Christopher Scott Taylor, RN
• Valerie VA Tcha, ACNPC-AG
• Carolyn Tellalian, LCSW
• Vicki Teran
• Garrett Terracciano, M.D.
• Salvador Terraza Rivera
• Jasmine Kaur Thandi, PA-C
• Kazoua Thao

• Nurse Practitioner in Madera, CA
• Providers in Madera, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.

Verify at the official NPI Registry.