Individual provider Active NPI

Selmira C Tellechea-Sanchez, M.D.

  • Pediatrics Physician
  • Fallbrook, CA
National Provider Identifier
1730288747
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G83438 Issued in CA
Practice address
1107 S Mission Rd
Fallbrook, CA 92028-3224
Phone
(760) 451-0070
Fax
(760) 451-1499
NPI assigned
Sep 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G83438 CA Primary

Addresses

Primary practice location

1107 S Mission Rd
Fallbrook, CA 92028-3224

Mailing address

27699 Jefferson Ave
Suite 300
Temecula, CA 92590-2661
Phone (951) 252-8588

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

LicenseStateTypeSpecialty
G83438CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Partners Medical Professional Corporation Pediatrics Past Accepting new patients
Pediatric Partners Medical Professional Corporation Pediatrics Past Accepting new patients
Pediatric Partners Medical Professional Corporation Pediatrics Past Accepting new patients
Pediatric Partners Medical Professional Corporation Pediatrics Past Accepting new patients
Neighborhood Healthcare Past Accepting new patients
Pediatric Partners Medical Professional Corporation Pediatrics Past Accepting new patients
Pediatric Partners Medical Professional Corporation Pediatrics Past Accepting new patients
Pediatric Partners Medical Professional Corporation Pediatrics Past Accepting new patients
Pediatric Partners Medical Professional Corporation Pediatrics Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730288747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27699 JEFFERSON AVE",
            "address_2": "SUITE 300",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902661",
            "telephone_number": "951-252-8588",
            "fax_number": "951-252-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 S MISSION RD",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283224",
            "telephone_number": "760-451-0070",
            "fax_number": "760-451-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLECHEA-SANCHEZ",
        "first_name": "SELMIRA",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G83438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fallbrook, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.