Meaza Z Kidane, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

20768 Issued in CA

Practice address

19789 Mt Wasatch Dr
Riverside, CA 92508-3281

Phone

(951) 251-9860

NPI assigned

Dec 29, 2009

Last updated

May 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Meaza Z Kidane Former name

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

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountain View Urgent Care Group IncGroup PAC ID 7214107861, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations (25 of 27)

Interoperability endpoints

• Direct secure messaging: meaza.kidane.1@3506.direct.athenahealth.com
• Direct secure messaging: meaza.zkidane.p1@direct.metro.nextgenshare.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.

• Mountain View Urgent Care Group, Inc

  • Emergency Medicine Physician
  • Fontana, CA
  • NPI 1023306784
  Medicare reassignment Care Compare group
• MLT Kidane Physician Assistant Corporation

  dba Med-Hanit Alem Medical Clinic

  • Medical Physician Assistant
  • Moreno Valley, CA
  • NPI 1225471956
  NPD Authorized official
• American Current Care of California, a Medical Corporation

  dba Concentra Urgent Care

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1750573622
  Medicare reassignment
• Emergency Physicians Urgent Care Inc.

  dba Accelerated Urgent Care

  • Urgent Care Clinic/Center
  • Bakersfield, CA
  • NPI 1689963845
  Medicare reassignment
• Mountain View Emergency Physicians Medical Group, Inc.

  dba Mountain View Emergency Physicians Med Grp, Inc

  • Emergency Medicine Physician
  • Upland, CA
  • NPI 1619923653
  Medicare reassignment
• American Current Care of California, a Medical Corporation

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Ontario, CA
  • NPI 1811464084
  NPD
• American Current Care of California, a Medical Corporation

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Bakersfield, CA
  • NPI 1952877516
  NPD
• Emergency Physicians Urgent Care Inc.

  dba Accelerated Urgent Care

  • Urgent Care Clinic/Center
  • Bakersfield, CA
  • NPI 1629442728
  NPD

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

• San Antonio Regional Hospital

  • General Acute Care Hospital
  • Upland, CA
  • NPI 1780681189
  Care Compare affiliation

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1174853907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19789 MT WASATCH DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925083281",
            "telephone_number": "951-512-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19789 MT WASATCH DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925083281",
            "telephone_number": "951-251-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDANE",
        "first_name": "MEAZA",
        "middle_name": "Z",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "20768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEAZA",
            "last_name": "KIDANE",
            "middle_name": "Z",
            "prefix": "MS.",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Khaled Khoury, PHARMD
• Jasmine Khuc
• Neharika Khurana, MD
• Elyas Y Khury, RNCST
• Rebekah Kibbe, NP
• Kids Court and Counseling Center
• Kids First Foundation
• Kids First Foundation
• Kids First Foundation of San Bernardino
• Neisha Kiefer, CADC-CAS

• Medical Physician Assistant in Riverside, CA
• Providers in Riverside, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.