Active NPI
Albert Telfer, NURSE PRACTITIONER
- Psychiatric/Mental Health Nurse Practitioner
- San Jacinto, CA
National Provider Identifier
1962870907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95002211
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 95002211 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New 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
- 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.
-
- Integrative Medicine Physician
- Perris, CA
- NPI 1376266858
-
- General Practice Physician
- Perris, CA
- NPI 1437806783
-
- Nurse Practitioner
- Perris, CA
- NPI 1437863297
-
- General Acute Care Hospital
- Anaheim, CA
- NPI 1790778488
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.