Individual provider Active NPI

Alyssa Tonelli, D.O.

  • Family Medicine Physician
  • Santa Ana, CA
National Provider Identifier
1750837993
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15215 Issued in CA
Practice address
1400 N Main St
Santa Ana, CA 92701-2304
Phone
(714) 426-5400
NPI assigned
Aug 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 15215 CA Primary
Family Medicine Physician 207Q00000X 6061 OK

Addresses

Primary practice location

1400 N Main St
Santa Ana, CA 92701-2304

Mailing address

3637 Arlington Ave Ste a
Riverside, CA 92506-3920
Phone (442) 372-7470

Other practice location 1

OneChoctaw Way
Talihina, OK 74571
Phone (918) 567-7000

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191120001646 CA Practitioner - Family Practice 4183978315 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
6061OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Caduceus Physicians Medical Group Family Medicine CurrentSince Oct 1, 2019 Accepting new patients

Locations

333 Thalia St
Laguna Beach, CA 92651
Phone (949) 499-0577

18200 Yorba Linda Blvd
Ste 308
Yorba Linda, CA 92886
Phone (714) 646-8070

18200 Yorba Linda Blvd
Ste 111
Yorba Linda, CA 92886

18200 Yorba Linda Blvd
Ste 401
Yorba Linda, CA 92886
Phone (714) 646-8010

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1750837993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3637 ARLINGTON AVE STE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063920",
            "telephone_number": "442-372-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N MAIN ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012304",
            "telephone_number": "714-426-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "OneChoctaw Way",
            "address_purpose": "LOCATION",
            "city": "Talihina",
            "state": "OK",
            "postal_code": "74571",
            "country_code": "US",
            "telephone_number": "918-567-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TONELLI",
        "first_name": "ALYSSA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "15215",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "6061",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.