Teklehaimanot Abraha, DNP
Individual provider Active NPI Family Nurse Practitioner · Millbrae, CA
NPI 1013441229 · NPPES record last updated Aug 15, 2023
Key facts
- NPI
- 1013441229
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 95005443 (CA)
- Practice address
- 423 Broadway
Suite #604
Millbrae, CA 94030-1905 - Phone
- (415) 619-4719
- NPI assigned
- Apr 13, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 24
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Solomon Medical Inc
Solomon Physicians Group PC
University of California San Francisco
Quality Care Solution Inc
Practice addresses (Care Compare)
1501 Skyline Dr
Monterey, CA 93940-4110
Phone (831) 402-8728
1600 Divisadero St
McB302
San Francisco, CA 94115-3010
Phone (415) 476-1000
2330 Post St
San Francisco, CA 94115-3465
Phone (415) 476-4029
505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000
809 Fremont Ave
Los Altos, CA 94024-5617
Phone (832) 618-8479
Hospital & facility affiliations
- UCSF Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170822004090 | CA | Practitioner - Nurse Practitioner | 8628340874 | Reassigns benefits to 12 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95005443 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Consultants of California, Inc | Current |
Accepting new patients | |
| Omar Osman Practice, LLC | Current |
Accepting new patients | |
| Quality Care Solution Inc. | Current |
Accepting new patients | |
| Solomon Medical Inc | Current |
Accepting new patients | |
| Careconnectmd Ca PC | Current |
Accepting new patients | |
| Inpatient Consultants of California, Inc. | Current |
Accepting new patients | |
| Solomon Medical Inc | Current |
Accepting new patients | |
| University of California San Francisco | Current |
Accepting new patients | |
| UCSF Medical Group Business Services | Current |
Accepting new patients | |
| Aleph Lab, LLC | Current |
Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| Acn Medical Group Inc | Current |
Accepting new patients | |
| UCSF Medical Group Business Services | Current |
Accepting new patients | |
| Pacific Inpatient Medical Group | Current |
Accepting new patients | |
| Solomon Physicians Group PC | Current |
Accepting new patients | |
| Regents of the University of California | Current |
Accepting new patients | |
| University of California San Francisco | Current |
Accepting new patients | |
| University of California San Francisco | Past | Accepting new patients | |
| Carbon Health Primary Care of California PC | Past |
Accepting new patients | |
| Regents of the University of California | Past | Accepting new patients |
Locations (25 of 27)
2140 Carlmont Dr
Belmont, CA 94002
Phone (650) 591-9601
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
39022 Presidio Way
Fremont, CA 94538
Phone (510) 792-3743
3777 Long Beach Blvd
Ste 260
Long Beach, CA 90807
Phone (626) 614-7878
809 Fremont Ave
Los Altos, CA 94024
Phone (408) 354-0211
1501 Skyline Dr
Monterey, CA 93940
Phone (831) 200-9651
2530 Solace Pl
Mountain View, CA 94040
Phone (650) 502-1800
1120 Forest Ave
Pacific Grove, CA 93950
Phone (831) 200-9651
637 E Romie Ln
Salinas, CA 93901
Phone (831) 424-0687
5602 University Ave
San Diego, CA 92105
Phone (619) 583-1993
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
3555 Cesar Chavez
San Francisco, CA 94110
Phone (415) 485-8824
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
1101 Van Ness Ave
San Francisco, CA 94109
Phone (415) 485-8824
2001 The Embarcadero
Ofc Of
San Francisco, CA 94143
Phone (628) 224-5503
302 Silver Ave
San Francisco, CA 94112
Phone (415) 334-2500
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
1990 Fruitdale Ave
San Jose, CA 95128
Phone (408) 998-8447
1355 Clayton Rd
San Jose, CA 95127
Phone (408) 251-3070
2800 Benedict Dr
San Leandro, CA 94577
Phone (510) 357-8300
45 Professional Center Pkwy
San Rafael, CA 94903
Phone (415) 479-3610
1115 Capitola Rd
Santa Cruz, CA 95062
Phone (831) 475-4055
3325 Chanate Rd
Santa Rosa, CA 95404
Phone (707) 576-4000
473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500
473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500
Interoperability endpoints
- teklehaimanot.abraha@299395540647940.direct.elationemr.com
- https://fhir4.healow.com/fhir/r4/GIGHCA/Endpoint/GIGHCA
- https://fhir4.healow.com/fhir/r4/GIGHCA
- tabraha351229@direct-ucsfmedicalcenter.org
- tabraha336351@hisp.ehr.sutterhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95005443 | CA | Yes |
Addresses
Primary practice location
423 Broadway
Suite #604
Millbrae, CA 94030-1905
Mailing address
1090 B St # 162
Hayward, CA 94541-4108
Phone (415) 619-4719
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95005443 | Other | CA | FURNISHING NUMBER |
Other providers in Millbrae, CA
- A & C Health Care Services
- A & C Health Care Services, Inc.
- Bernadette Marie Corpuz Abadilla
- Chad Panlilio Ablang
- Accesscare Pathways LLC
- Lara Acedillo
- Acn Medical Group Inc
- Acumedical Group Corp of Acupuncture Clinic, Inc.
- Admiral Medical Supplies LLC
All providers in Millbrae, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.