Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alexis Tello, PA-C, MPH

Individual provider Physician Assistant · NPI 1861624082

Alexis Tello, PA-C, MPH is a Physician Assistant in Colton, California. Qualified in 2009, 17 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
17
Licensed in
CA
In the registry since
2009
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

400 N Pepper Ave
Colton, CA 92324-1801
Phone: (909) 267-0910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 20449 (CA)

Record details

NPI number1861624082
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , MPH
Sole proprietorNo
NPI enumeratedAugust 21, 2009
Last updated in NPPESOctober 25, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Colton