Individual provider Active NPI

Agnes D. Letai, M.D.

  • Emergency Medicine Physician
  • La Jolla, CA
National Provider Identifier
1902886088
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G69484 Issued in CA
Practice address
10666 N Torrey Pines Rd
La Jolla, CA 92037-1027
Phone
(858) 455-9100
NPI assigned
Jan 17, 2006
Last updated
Oct 7, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G69484 CA Primary

Addresses

Primary practice location

10666 N Torrey Pines Rd
La Jolla, CA 92037-1027

Mailing address

File# 54433
Los Angeles, CA 90074-0001

Other identifiers 1

IdentifierTypeStateIssuer
00G694840MedicaidCA

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
I20061031000269 CA Practitioner - Emergency Medicine 3476550617 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of California, Irvine, California College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jurkowski Medical CorporationGroup PAC ID 7911155304, 16 clinicians
Two Zeds Medical CorporationGroup PAC ID 7810291291, 14 clinicians

Practice addresses (Care Compare)

10605 Scripps Poway Pkwy
San Diego, CA 92131-3925
Phone (858) 622-0554

3830 Valley Centre Dr
San Diego, CA 92130-3307
Phone (858) 720-0554

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Two Zeds Medical Corporation Emergency Medicine CurrentSince Nov 21, 2023 Accepting new patients
Team Physicians of California Medical Group Inc Emergency Medicine CurrentSince Sep 1, 2017 Accepting new patients
Pinnacle Emergency Physicians of Bakersfield, a Professional Corp Emergency Medicine CurrentSince Apr 1, 2013 Accepting new patients
Pinnacle Emergency Physicians of Bakersfield, a Professional Corp Emergency Medicine CurrentSince Apr 1, 2013 Accepting new patients
Jurkowski Medical Corporation CurrentSince Nov 21, 2023 Accepting new patients
Scripps Clinic Medical Group Past Accepting new patients
Hemet Emergency Med Group @ Menifee Hospital Emergency Medicine Past Accepting new patients
Alvarado Emergency Medical Associates, Inc. Emergency Medicine PastSince Aug 7, 2022 Accepting new patients
Patient First Richmond Medical Group PLLC Past Accepting new patients
Grossmont Emergency Medical Group Emergency Medicine Past Accepting new patients
Hemet Emergency Medical Group Emergency Medicine Past Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

10605 Scripps Poway Pkwy
San Diego, CA 92131
Phone (858) 622-0554

10605 Scripps Poway Pkwy
Ste C
San Diego, CA 92131
Phone (858) 622-0554

3830 Valley Centre Dr
Ste 702
San Diego, CA 92130
Phone (858) 720-0554

869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800

Organizations & group practices 11

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254873600000",
    "number": "1902886088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE# 54433",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900740001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10666 N TORREY PINES RD",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371027",
            "telephone_number": "858-455-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETAI",
        "first_name": "AGNES",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2009-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G69484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G694840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.