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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. TEWODROS TEKLE MD
NPI 1609526854
Family Medicine in Clovis, CA

Active since March 28, 2022
2740 HERNDON AVE, CLOVIS, CA 93611(559) 299-2608 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 25, 2026, Jul 5, 2023 (2 updates tracked since 2023).

About Dr. Tewodros Tekle Md NPPES

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

DR. TEWODROS TEKLE MD (NPI 1609526854) is an individual family medicine provider in Clovis, California, licensed in California (A204534) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1609526854
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TEWODROS TEKLECredential: MD
Location Address2740 HERNDON AVEClovis, CA 93611-6813
Mailing Address2740 Herndon AveClovis, CA 93611-6813 · (559) 299-2608
Phone(559) 299-2608
Sole ProprietorNo
Enumeration DateMarch 28, 2022
Last NPPES UpdateAugust 25, 20262 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
✔ NPI 1609526854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A204534
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2740 HERNDON AVE, Clovis, CA 93611
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MEENAKSHI DHINGRA MD
Family Medicine
2740 HERNDON AVE
CLOVIS, CA 93611
Fresno County (559) 299-2608
AIMEE VICTORIA
Dental Hygienist
2740 HERNDON AVE
CLOVIS, CA 93611
Fresno County (559) 299-4264
PE LEE RDH
Dental Hygienist
2740 HERNDON AVE
CLOVIS, CA 93611
Fresno County (559) 299-2608
RANJANI SRINIVASAN RD
Dietitian, Registered
2740 HERNDON AVE
CLOVIS, CA 93611
Fresno County (559) 299-2578
GLORIA CHRISTINA SUDETA NP-C
Nurse Practitioner (Psychiatric/Mental Health)
2740 HERNDON AVE
CLOVIS, CA 93611
Fresno County (559) 299-2608
NICOLE SUSAN SPOONER RDH
Dental Hygienist
2740 HERNDON AVE
CLOVIS, CA 93611
Fresno County (559) 299-2578
MIKA DANIELLE FISHER MPH, RDN, CPH
Dietitian, Registered
2740 HERNDON AVE
CLOVIS, CA 93611
Fresno County (559) 299-2608
LANCE GATOR GAULT D.O.
Family Medicine
2740 HERNDON AVE
CLOVIS, CA 93611
Fresno County (559) 299-2608

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 Tewodros Tekle's NPI number?

The NPI number for Tewodros Tekle is 1609526854. It was assigned to this individual provider in the NPPES registry on March 28, 2022.

Where is Tewodros Tekle located?

Tewodros Tekle practices at 2740 Herndon Ave, Clovis, CA 93611. The listed phone number is (559) 299-2608.

What is Tewodros Tekle's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Tewodros Tekle was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.