Nikolay Teleten, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A134692 Issued in CA

Practice address

16350 Ventura Blvd Ste D396
Encino, CA 91436-5300

Phone

(818) 570-0520

NPI assigned

Jul 6, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nikolay.teleten@985026537848836.direct.elationemr.com

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.

• St. Johns Community Health

  • Community Health Clinic/Center
  • Los Angeles, CA
  • NPI 1073363768
  NPD
• St. Johns Community Health

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1073653630
  NPD
• St. Johns Community Health

  • Community Health Clinic/Center
  • Compton, CA
  • NPI 1801028303
  NPD
• North Shore-Lij Medical PC

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1730476151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16350 VENTURA BLVD STE D396",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914365300",
            "telephone_number": "818-570-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16350 VENTURA BLVD STE D396",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914365300",
            "telephone_number": "818-570-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELETEN",
        "first_name": "NIKOLAY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-06",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "276094",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A134692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel F Tebbi, DMD
• Tali Tehrani, DDS
• Howard Phillip Teich
• Telehealth Pharmacy ,Inc
• Telescope Psychology Inc
• Lauren Teller, M.S. CCC/SLP
• Tender Hands Home Health, Inc.
• Tender Touch Mobile
• Jigme Tenzin
• Eduardo Felipe Teran, DPT

• Family Medicine Physician in Encino, CA
• Providers in Encino, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.