Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Putue Teh, PA

Individual provider Pediatrics Physician · NPI 1235812264

Putue Teh, PA is a Physician Assistant in Clearlake, California. Qualified in 2023, 3 years ago. Practices with Adventist Health Clearlake Hospital Inc, a 86-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
Specialties on file
5
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

15230 Lakeshore Dr
Clearlake, CA 95422-8107
Phone: (707) 995-4545
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 363A00000X (CA)
Pediatrics Physician Taxonomy 208000000X · Licence 208000000X (CA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 2084P0800X (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 207R00000X (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 390200000X (CA)

Record details

NPI number1235812264
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 8, 2023
Last updated in NPPESAugust 8, 2023
Certification dateAugust 4, 2023
Mailing address2081 Expedition Way, Sacramento, CA 95832-1262

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Adventist Health Clearlake Hospital Inc. — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Clearlake