Individual provider Active NPI

John G Telles, MD

  • Cardiovascular Disease Physician
  • Fresno, CA
National Provider Identifier
1891782256
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G35213 Issued in CA
Practice address
1313 E Herndon Ave
Suite 203
Fresno, CA 93720-3306
Phone
(559) 439-6808
Fax
(559) 439-9335
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G35213 CA Primary

Addresses

Primary practice location

1313 E Herndon Ave
Suite 203
Fresno, CA 93720-3306

Mailing address

1313 E Herndon Ave
Suite 203
Fresno, CA 93720-3306
Phone (559) 439-6808

Other identifiers 1

IdentifierTypeStateIssuer
00G352130MedicaidCA

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
I20040921001342 CA Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9234107830 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.41 of 100Reported as group
Quality
87.02
Promoting interoperability
100
Improvement activities
40
Cost
78.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G35213CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Associates-the Heart Group Medical Clinic Inc Cardiology CurrentSince Jan 26, 1994 Accepting new patients
Fresno Community Hospital and Medical Center CurrentSince May 31, 2014 Accepting new patients
Trinity Home Health Services CurrentSince Oct 19, 2009 Accepting new patients
Community Foundation Medical Group CurrentSince Sep 1, 2019 Accepting new patients
Community Foundation Medical Group Current Accepting new patients
Community Foundation Medical Group CurrentSince Sep 1, 2019 Accepting new patients
Fresno Community Hospital and Medical Center Current Accepting new patients
Saint Agnes Medical Center Cardiovascular Disease CurrentSince Oct 19, 2009 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients

Locations

726 N Medical Center Dr E
Ste 125
Clovis, CA 93611
Phone (559) 439-6808

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

15 E Audubon Dr
Fresno, CA 93720
Phone (559) 433-8000

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

7202 N Millbrook Ave
Ste 2
Fresno, CA 93720
Phone (559) 449-2930

1313 E Herndon Ave
#203210
Fresno, CA 93720

1313 E Herndon Ave
Ste 203
Fresno, CA 93720
Phone (559) 439-6808

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

1313 E Herndon Ave
Ste 202
Fresno, CA 93720
Phone (559) 237-9118

Interoperability endpoints

  • Direct secure messaging: jtelles2721533@direct.trinity-health.org

Organizations & group practices 9

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1891782256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 E HERNDON AVE",
            "address_2": "SUITE 203",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203306",
            "telephone_number": "559-439-6808",
            "fax_number": "559-439-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 E HERNDON AVE",
            "address_2": "SUITE 203",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203306",
            "telephone_number": "559-439-6808",
            "fax_number": "559-439-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLES",
        "first_name": "JOHN",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G35213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G352130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.