KEITH ALLEN TELLIGMAN
NPI 1093059917
Day Training/Habilitation Specialist in Valley Glen, CA

Q: What is Keith Telligman's NPI number?

The NPI number for Keith Telligman is 1093059917. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Q: What is Keith Telligman's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

Q: When was this NPI record last updated?

The NPPES record for Keith Telligman was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 15, 2012

5966 COSTELLO AVE, VALLEY GLEN, CA 91401(818) 667-4365 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2025, Feb 10, 2021 (2 updates tracked since 2021).

On this page

About Keith Allen Telligman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH ALLEN TELLIGMAN (NPI 1093059917) is an individual day training/habilitation specialist in Valley Glen, California, licensed in California (9176) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1093059917

Entity TypeIndividualMale

Primary Taxonomy373H00000X

Provider Legal NameKEITH ALLEN TELLIGMAN

Location Address5966 COSTELLO AVEValley Glen, CA 91401-4338

Mailing Address5966 Costello AveValley Glen, CA 91401-4338 · (818) 667-4365

Phone(818) 667-4365

Sole ProprietorNo

Enumeration DateNovember 15, 2012

Last NPPES UpdateMay 8, 20252 updates tracked since enumeration

NPPES CertifiedMay 8, 2025

✔ NPI 1093059917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers

Taxonomy Code373H00000X

License✔ Licensed in CA · 9176

Definition

Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

Also ListedCommunity Health WorkerTaxonomy 172V00000X · License 9176 (CA)

5966 COSTELLO AVE, Valley Glen, CA 91401

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Telligman's NPI number?

The NPI number for Keith Telligman is 1093059917. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Where is Keith Telligman located?

Keith Telligman practices at 5966 Costello Ave, Valley Glen, CA 91401. The listed phone number is (818) 667-4365.

What is Keith Telligman's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Keith Telligman was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.