Individual provider Active NPI

Tsehay Mebrahtu, M.A., CCC-A

  • Audiologist-Hearing Aid Fitter
  • Concord, CA
National Provider Identifier
1265583181
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AU1431 Issued in CA
Practice address
2415 High School Ave Ste 300
Concord, CA 94520-1815
Phone
(925) 676-8101
Fax
(925) 676-8420
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X AU1431 CA Primary

Addresses

Primary practice location

2415 High School Ave Ste 300
Concord, CA 94520-1815

Mailing address

2415 High School Ave Ste 300
Concord, CA 94520-1815
Phone (925) 676-8101

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
AU1431CAMDAudiologist-Hearing Aid Fitter

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265583181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 HIGH SCHOOL AVE STE 300",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201815",
            "telephone_number": "925-676-8101",
            "fax_number": "925-676-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 HIGH SCHOOL AVE STE 300",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201815",
            "telephone_number": "925-676-8101",
            "fax_number": "925-676-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEBRAHTU",
        "first_name": "TSEHAY",
        "name_prefix": "Ms.",
        "credential": "M.A., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CA",
            "license": "AU1431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.