Michael Meseret Tibebu, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH83885 Issued in CA

Practice address

1850 Whitley Ave Apt 915
Los Angeles, CA 90028-4795

Phone

(207) 347-9805

NPI assigned

Jan 19, 2021

Sex

Male

Sole proprietor

No

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

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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

• Wellness Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Los Angeles, CA
  • NPI 1114703675
  NPD Authorized official

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1225628720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 WHITLEY AVE APT 915",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900284795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 WHITLEY AVE APT 915",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900284795",
            "telephone_number": "207-347-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBEBU",
        "first_name": "MICHAEL",
        "middle_name": "MESERET",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH83885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Theresa Nolasco Tibayan, LVN
• Maila Tibberts, P.T.
• Rachelle Joanne Tibbetts, M.D.
• Roberta Noel Tibbles
• Nyah Tibbs
• John Vincent Tiberi III, M.D.
• James Eugene Tibone, MD
• Luz Ticas
• Alison Ann Tice, R.D.N
• Kristin Tice, LCSW

• Pharmacist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.