Amanuel Tesfamichael

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH78270 Issued in CA

Practice address

4300 Missouri Flat Rd
Placerville, CA 95667-6811

Phone

(530) 621-3447

NPI assigned

Jul 15, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1053963504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 MASSA CT",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945137120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 MISSOURI FLAT RD",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956676811",
            "telephone_number": "530-621-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESFAMICHAEL",
        "first_name": "AMANUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD14169",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH78270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Taylor, MD
• Michelle Ellen Taylor
• Necati Uygur Tekin, M.D.
• Telecare Corporation
• Teresa Sein
• The Center for Violence-Free Relationships
• The Center for Violence-Free Relationships
• The Gates Recovery Foundation
• The Gates Recovery Foundation
• Jennifer Thomas, RN

• Pharmacist in Placerville, CA
• Providers in Placerville, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.