Teklehaimanot Abraha, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95005443 Issued in CA

Practice address

423 Broadway
Suite #604
Millbrae, CA 94030-1905

Phone

(415) 619-4719

NPI assigned

Apr 13, 2017

Last updated

Aug 15, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Solomon Medical IncGroup PAC ID 4385041334, 31 clinicians

Solomon Physicians Group PCGroup PAC ID 6709385677, 14 clinicians

University of California San FranciscoGroup PAC ID 4486567229, 1,780 clinicians

Quality Care Solution IncGroup PAC ID 3476969031, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• UCSF Medical Center Hospital, San Francisco, CA, CCN 050454

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations (25 of 27)

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GIGHCA
• FHIR API: https://fhir4.healow.com/fhir/r4/GIGHCA/Endpoint/GIGHCA
• Direct secure messaging: tabraha336351@hisp.ehr.sutterhealth.org
• Direct secure messaging: tabraha351229@direct-ucsfmedicalcenter.org
• Direct secure messaging: teklehaimanot.abraha@299395540647940.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Quality Care Solution Inc.

  • Internal Medicine Physician
  • Sunnyvale, CA
  • NPI 1356944235
  Medicare reassignment Care Compare group NPD
• Solomon Medical Inc

  • Psychiatry Physician
  • Monterey, CA
  • NPI 1275106502
  Medicare reassignment Care Compare group NPD
• University of California San Francisco

  dba UCSF Pediatrics Group

  • Pediatrics Physician
  • San Francisco, CA
  • NPI 1861578973
  Medicare reassignment Care Compare group NPD
• Solomon Physicians Group PC

  • Internal Medicine Physician
  • Monterey, CA
  • NPI 1114809423
  Medicare reassignment Care Compare group
• Acn Medical Group Inc

  • Internal Medicine Physician
  • Millbrae, CA
  • NPI 1154747020
  Medicare reassignment NPD
• Careconnectmd Ca PC

  • Family Medicine Physician
  • Costa Mesa, CA
  • NPI 1366063125
  Medicare reassignment NPD
• Inpatient Consultants of California, Inc

  • Internal Medicine Physician
  • Berkeley, CA
  • NPI 1437489994
  Medicare reassignment NPD
• Inpatient Consultants of California, Inc.

  • Hospitalist Physician
  • Berkely, CA
  • NPI 1831134253
  Medicare reassignment NPD
• Pacific Inpatient Medical Group

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1447447248
  Medicare reassignment NPD
• Regents of the University of California

  dba UCSF Dept of Medicine General Medicine

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1760552343
  Medicare reassignment NPD
• UCSF Medical Group Business Services

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1477624104
  Medicare reassignment NPD
• Omar Osman MD PC

  dba Comprehensive Rehab Consultants PC

  • Physical Medicine & Rehabilitation Physician
  • Morton Grove, IL
  • NPI 1669192472

  CA

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• University of California, San Francisco

  dba UCSF Medical Center

  • General Acute Care Hospital
  • San Francisco, CA
  • NPI 1689772592
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1013441229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 B ST # 162",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414108",
            "telephone_number": "415-619-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 BROADWAY",
            "address_2": "SUITE #604",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940301905",
            "telephone_number": "415-619-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHA",
        "first_name": "TEKLEHAIMANOT",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-13",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95005443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FURNISHING NUMBER",
            "identifier": "95005443",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A & C Health Care Services (Millbrae Manor Residential)
• A & C Health Care Services, Inc. (A & C Convalescent Hospital)
• Bernadette Marie Corpuz Abadilla, RN
• Chad Panlilio Ablang
• Accesscare Pathways LLC
• Lara Acedillo
• Acn Medical Group Inc
• Acumedical Group Corp of Acupuncture Clinic, Inc.
• Admiral Medical Supplies LLC

• Family Nurse Practitioner in Millbrae, CA
• Providers in Millbrae, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.