Active NPI
Aleksandr Teleten, PA-C
- Physician Assistant
- Citrus Heights, CA
National Provider Identifier
1861750671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA22041
- Practice address
- 6560 Greenback LN
Suite 200
Citrus Heights, CA 95621-6237 - Phone
- (916) 745-1214
- Fax
- (916) 745-7027
- NPI assigned
- Apr 30, 2012
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA22041 | CA | Primary |
Addresses
Primary practice location
6560 Greenback LN
Suite 200
Citrus Heights, CA 95621-6237
Mailing address
6560 Greenback LN
Suite 200
Citrus Heights, CA 95621-6237
Phone (916) 745-1214
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)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344988800000",
"number": "1861750671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6560 GREENBACK LN",
"address_2": "SUITE 200",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "956216237",
"telephone_number": "916-745-1214",
"fax_number": "916-745-7027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6560 GREENBACK LN",
"address_2": "SUITE 200",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "956216237",
"telephone_number": "916-745-1214",
"fax_number": "916-745-7027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELETEN",
"first_name": "ALEKSANDR",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-30",
"last_updated": "2012-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA22041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Citrus Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.