Active NPI
Diego Tellos
- Addiction (Substance Use Disorder) Counselor
- El Centro, CA
National Provider Identifier
1790695492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 26798
- Practice address
- 200 S 5TH St
El Centro, CA 92243-3013 - Phone
- (760) 482-0864
- NPI assigned
- Sep 8, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 26798 | CA | Primary |
Addresses
Primary practice location
200 S 5TH St
El Centro, CA 92243-3013
Mailing address
535 Cesar Chavez Blvd
Calexico, CA 92231-2103
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1790695492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 CESAR CHAVEZ BLVD",
"city": "CALEXICO",
"state": "CA",
"postal_code": "922312103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S 5TH ST",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922433013",
"telephone_number": "760-482-0864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELLOS",
"first_name": "DIEGO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-08",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "26798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Centro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.