MARIEL TELMO DPM
NPI 1730568163
Podiatrist in Manteca, CA

Active since May 18, 2015PECOS EnrolledAccepts Medicare Assignment
250 NORTHGATE DR, MANTECA, CA 95336(209) 239-5299(877) 436-1494 Get Directions Write a Review

NPPES record last updated: January 24, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mariel Telmo Dpm NPPES

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

MARIEL TELMO DPM (NPI 1730568163) is an individual podiatrist in Manteca, California, licensed in California (DPM5366) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Western University Of Health Sciences College Of Dental Med (2015).

NPPES Registry Identity

NPI1730568163
Entity TypeIndividualFemale
Primary Taxonomy213E00000X
Provider Legal NameMARIEL TELMOCredential: DPM
Location Address250 NORTHGATE DRManteca, CA 95336-3161
Mailing Address1910 Customer Care WayAtwater, CA 95301-5167 · (209) 384-6542 · Fax (855) 202-9336
Fax(877) 436-1494
Sole ProprietorNo
Medical School CMSWestern University Of Health Sciences College Of Dental MedGraduated 2015
Enumeration DateMay 18, 2015
Last NPPES UpdateJanuary 24, 2019
✔ NPI 1730568163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in CA · DPM5366
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
250 NORTHGATE DR, Manteca, CA 95336

Secondary Practice Location 1

Location 111301 Wilshire BlvdLos Angeles, CA 90073-1003 · Phone (310) 478-3711

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mariel Telmo Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840531117
PECOS Enrollment IDI20190415001359
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Mariel Telmo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
250 NORTHGATE DR
Manteca, CA 95336
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Golden Valley Health Centers
  • 440 clinicians in this Medicare group
Foot & Ankle Surgery
2299 POST ST STE 205
San Francisco, CA 94115
  • Reassigned Medicare billing, California enrollment
  • 152 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95336 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

Pediatrics
250 NORTHGATE DR
MANTECA, CA 95336
Clinic/Center (Federally Qualified Health Center (FQHC))
250 NORTHGATE DR
MANTECA, CA 95336

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 Mariel Telmo's NPI number?

The NPI number for Mariel Telmo is 1730568163. It was assigned to this individual provider in the NPPES registry on May 18, 2015.

Where is Mariel Telmo located?

Mariel Telmo practices at 250 Northgate Dr, Manteca, CA 95336. The listed phone number is (209) 239-5299.

What is Mariel Telmo's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Mariel Telmo enrolled in Medicare?

Yes. Mariel Telmo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mariel Telmo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mariel Telmo reassigns Medicare benefits to 2 organizations: Golden Valley Health Center (Manteca, CA) and Bay Area Foot Care, Inc (San Francisco, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mariel Telmo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mariel Telmo was last updated on January 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.