Gregory Jay Teles, D.P.M.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

E2898 Issued in CA

Practice address

23365 Hawthorne Blvd Ste 101
Torrance, CA 90505-3720

Phone

(310) 326-0202

Fax

(310) 326-5826

NPI assigned

May 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382659200000",
    "number": "1962469072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23365 HAWTHORNE BLVD STE 101",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053720",
            "telephone_number": "310-326-0202",
            "fax_number": "310-326-5826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23365 HAWTHORNE BLVD STE 101",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053720",
            "telephone_number": "310-326-0202",
            "fax_number": "310-326-5826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELES",
        "first_name": "GREGORY",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2013-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E2898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E28980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Foot Surgery Podiatrist in Torrance, CA
• Providers in Torrance, CA by specialty
• Foot Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.

Verify at the official NPI Registry.