Addis Alem Hikssa, RCFE ADMINISTRATOR

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

7364 El Cajon Blvd
#209
San Diego, CA 92115-1866

Phone

(858) 215-1828

NPI assigned

Sep 24, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1063814887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7364 EL CAJON BLVD",
            "address_2": "#209",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921151866",
            "telephone_number": "858-215-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7364 EL CAJON BLVD",
            "address_2": "#209",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921151866",
            "telephone_number": "858-215-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIKSSA",
        "first_name": "ADDIS ALEM",
        "name_prefix": "Mr.",
        "credential": "RCFE ADMINISTRATOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-24",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.