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

Tilksew A Tedla

Individual provider Nurse Practitioner · NPI 1356856132

Tilksew A Tedla is a Nurse Practitioner in Modesto, California. Qualified in 2017, 9 years ago. Practices with Pain Clinics of Central California, Inc, a 19-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017
Claim this listing Report a problem Suggest an edit

Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 3091
Modesto, CA 95353-3091
Phone: (209) 575-4575
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95011063 (CA)

Record details

NPI number1356856132
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 3, 2017
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026
Mailing addressPo Box 3091, Modesto, CA 95353-3091

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Pain Clinics Of Central California, Inc. — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Modesto