Active NPI
Irving R Tessler, MD
- Pediatric Cardiology Physician
- Pasadena, CA
National Provider Identifier
1821070681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- G14307
- Practice address
- 50 Bellefontaine St
Ste 405
Pasadena, CA 91105-3132 - Phone
- (626) 796-9259
- Fax
- (626) 449-8560
- NPI assigned
- Nov 17, 2005
- 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 |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | G14307 | CA | Primary |
Addresses
Primary practice location
50 Bellefontaine St
Ste 405
Pasadena, CA 91105-3132
Mailing address
50 Bellefontaine St
Ste 405
Pasadena, CA 91105-3132
Phone (626) 796-9259
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G143070 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G14307 | CA | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Pediatric Cardiology Medical Group Inc | Pediatric Cardiology | Past | Accepting new patients |
| Chino Medical Group, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Health Maintenance Organization
- Chino, CA
- NPI 1790730786
-
- Pediatric Cardiology Physician
- Pasadena, CA
- NPI 1396720371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361404800000",
"number": "1821070681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 BELLEFONTAINE ST",
"address_2": "STE 405",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053132",
"telephone_number": "626-796-9259",
"fax_number": "626-449-8560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 BELLEFONTAINE ST",
"address_2": "STE 405",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053132",
"telephone_number": "626-796-9259",
"fax_number": "626-449-8560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TESSLER",
"first_name": "IRVING",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-17",
"last_updated": "2013-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "CA",
"license": "G14307",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G143070",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.