Active NPI
Teletherapeutics Health Ca Corp
- Clinical Psychologist
- Artesia, CA
National Provider Identifier
1730848383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- TELETHERAPEUTICS HEALTH CA CORP
- Practice address
- 18520 1/2 Pioneer Blvd
Artesia, CA 90701-5597 - Phone
- (888) 420-0589
- Fax
- (848) 667-8981
- NPI assigned
- Dec 10, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yasir J Ahmad, MD
- Title
- Owner
- Phone
- (781) 373-8199
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary | ||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X |
Addresses
Primary practice location
18520 1/2 Pioneer Blvd
Artesia, CA 90701-5597
Mailing address
79 Ogle Rd
Old Tappan, NJ 07675-7026
Phone (732) 485-1301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220317002577 | CA | Part B Supplier - Clinic/Group Practice | 4082009675 |
Receives reassigned benefits from 17 practitioners Practice locations: Corona, CA; Highland, CA |
National Provider Directory
National Provider DirectoryLocations
18520 Pioneer Blvd
Ste 205
Artesia, CA 90701
18520 Pioneer Blvd
Artesia, CA 90701
26498 Baseline St
Ste A
Highland, CA 92346
Practitioners & affiliated clinicians
Practitioners 26
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747094400000",
"number": "1730848383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 OGLE RD",
"city": "OLD TAPPAN",
"state": "NJ",
"postal_code": "076757026",
"telephone_number": "732-485-1301",
"fax_number": "848-667-8981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18520 1/2 PIONEER BLVD",
"city": "ARTESIA",
"state": "CA",
"postal_code": "907015597",
"telephone_number": "888-420-0589",
"fax_number": "848-667-8981"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TELETHERAPEUTICS HEALTH CA CORP",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-10",
"last_updated": "2025-05-13",
"certification_date": "2025-05-13",
"status": "A",
"authorized_official_last_name": "AHMAD",
"authorized_official_first_name": "YASIR",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "781-373-8199",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Artesia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.