Individual provider Active NPI

Albert Telfer, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • San Jacinto, CA
National Provider Identifier
1962870907
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95002211 Issued in CA
Practice address
790 S State St Ste 6
San Jacinto, CA 92583-4924
Phone
(951) 652-6002
NPI assigned
Sep 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95002211 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95002211 CA Primary

Addresses

Primary practice location

790 S State St Ste 6
San Jacinto, CA 92583-4924

Mailing address

28932 Wallflower Way
Murrieta, CA 92563-3483
Phone (909) 269-0643

Other practice location 1

1307 W 6th St Ste 105
Corona, CA 92882-1644
Phone (888) 873-6220

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95002211CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Omegatel Nursing Corp Current Accepting new patients
Health Atlast Perris Current Accepting new patients
Global Integrated Health Current Accepting new patients
Anaheim Global Medical Center, Inc Past Accepting new patients

Locations

28481 Rancho California Rd
Ste 202
Temecula, CA 92590
Phone (951) 404-8805

Interoperability endpoints

  • Direct secure messaging: atelfer315729@direct.llu.edu

Organizations & group practices 4

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": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1962870907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28932 WALLFLOWER WAY",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925633483",
            "telephone_number": "909-269-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 S STATE ST STE 6",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925834924",
            "telephone_number": "951-652-6002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1307 W 6th St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928821644",
            "country_code": "US",
            "telephone_number": "888-873-6220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TELFER",
        "first_name": "ALBERT",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-08",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95002211",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95002211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jacinto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.