Active NPI
Zemen Tadesse
- Plastic Surgery Registered Nurse
- Santa Monica, CA
National Provider Identifier
1174411201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Registered Nurse
- License
- 95029144
- Practice address
- 530 Wilshire Blvd
Suite 101, Studio 19
Santa Monica, CA 90401 - Phone
- (310) 940-0904
- NPI assigned
- Jun 26, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Registered Nurse | 163WS0121X | 95029144 | CA | Primary |
Addresses
Primary practice location
530 Wilshire Blvd
Suite 101, Studio 19
Santa Monica, CA 90401
Mailing address
530 Wilshire Blvd
Suite 101, Studio 19
Santa Monica, CA 90401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95029144 | CA | MD | Plastic Surgery Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750896000000",
"number": "1174411201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 WILSHIRE BLVD",
"address_2": "SUITE 101, STUDIO 19",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "90401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 WILSHIRE BLVD",
"address_2": "SUITE 101, STUDIO 19",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "90401",
"telephone_number": "310-940-0904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TADESSE",
"first_name": "ZEMEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-26",
"last_updated": "2025-06-26",
"certification_date": "2025-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0121X",
"taxonomy_group": "",
"desc": "Registered Nurse, Plastic Surgery",
"state": "CA",
"license": "95029144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.