Active NPI
Samuel David Teles, MD
- Emergency Medicine Physician
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- PTL7288
- Practice address
- 4445 Magnolia Ave
Riverside, CA 92501-4199 - Phone
- (951) 788-3000
- NPI assigned
- Mar 31, 2021
- Last updated
- Aug 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Emergency Medicine Physician | 207P00000X | PTL7288 | CA | Primary |
Addresses
Primary practice location
4445 Magnolia Ave
Riverside, CA 92501-4199
Mailing address
4445 Magnolia Ave
Riverside, CA 92501-4199
Phone (951) 788-3000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Southern California Keck School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
354 Santa Fe Dr
Encinitas, CA 92024-5142
Phone (760) 753-1362
820 E Mountain View St
Barstow, CA 92311-3004
Phone (858) 863-7382
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.7 of 100
- Quality
- 81.57
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL7288 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chino Emergency Medical Associates, Inc. | Emergency Medicine | Current | Accepting new patients |
| Team Physicians of Southern California Medical Group, Inc. | Emergency Medicine | Current | Accepting new patients |
| Singh MD a Professional Medical | Emergency Medicine | Current | Accepting new patients |
| KND Development 59, LLC | Current | Accepting new patients | |
| Encinitas Emergency Medicine, Inc. | Emergency Medicine | Current | Accepting new patients |
| KND Development 59 LLC | Current | Accepting new patients | |
| KND Development 59, LLC | Current | Accepting new patients | |
| MD Karan Singh Professional Corp | Emergency Medicine | Current | Accepting new patients |
Locations
600 N Highland Springs Ave
Banning, CA 92220
Phone (833) 443-6287
820 E Mountain View St
Barstow, CA 92311
Phone (760) 256-1761
5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600
354 Santa Fe Dr
Encinitas, CA 92024
Phone (760) 230-2251
4002 Vista Way
Oceanside, CA 92056
Phone (760) 724-8411
550 N Monterey Ave
Ontario, CA 91764
Phone (909) 629-2290
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Encinitas, CA
- NPI 1598362568
-
dba Seva Medical Group
- Emergency Medicine Physician
- Barstow, CA
- NPI 1336971514
-
- Emergency Medicine Physician
- Chino, CA
- NPI 1013282029
-
- Hospitalist Physician
- Santa Ana, CA
- NPI 1740519081
-
dba Seva Medical Group
- Emergency Medicine Physician
- Banning, CA
- NPI 1932964962
-
- Emergency Medicine Physician
- Oceanside, CA
- NPI 1225499015
-
- Hospitalist Physician
- Ontario, CA
- NPI 1497084792
-
dba Specialty Hospitals Broken Arrow
- Hospitalist Physician
- Broken Arrow, OK
- NPI 1922950823
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Barstow Community Hospital
- General Acute Care Hospital
- Barstow, CA
- NPI 1780655670
-
dba Scripps Memorial Hospital Encinitas
- General Acute Care Hospital
- Encinitas, CA
- NPI 1700829199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691366400000",
"number": "1750969614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4445 MAGNOLIA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925014199",
"telephone_number": "951-788-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4445 MAGNOLIA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925014199",
"telephone_number": "951-788-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELES",
"first_name": "SAMUEL",
"middle_name": "DAVID",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-31",
"last_updated": "2023-08-07",
"certification_date": "2023-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "PTL7288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
- Telecare Corporation (Restorative Transformation Center MHRC)
- Telecare Corporation (Western Riverside CSU)
- Telecare Corporation (Telecare Riverside County Crisis Residential-Lagos)
- Telecare Mental Health Urgent Care
- Telehope Behavioral Health LLC
- Telesolutions, MD, PC (N/a)
- Kristina Elaine Telhami
- Ashley Tellez
- Litsy Tellez
- Rebecca Tellez, BCBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.