Individual provider Active NPI

Nahom Tassew

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1316689185
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95020600 Issued in CA
Practice address
1300 N Vermont Ave Ste 902
Los Angeles, CA 90027-6094
Phone
(323) 913-9130
NPI assigned
Apr 11, 2022
Last updated
Jan 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95020600 CA Primary

Addresses

Primary practice location

1300 N Vermont Ave Ste 902
Los Angeles, CA 90027-6094

Mailing address

1641 W 67TH St
Los Angeles, CA 90047-1918
Phone (213) 235-8441

Other practice location 1

5512 E Britton Dr Ste 100
Long Beach, CA 90815-3149
Phone (562) 594-6644

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220711002904 CA Practitioner - Nurse Practitioner 3678953460 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exer Medical CorporationGroup PAC ID 9032359534, 336 clinicians

Practice addresses (Care Compare)

11560 W Pico Blvd
Los Angeles, CA 90064-1520
Phone (310) 477-8285

26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225

5512 E Britton Dr
Suite 100
Long Beach, CA 90815-3149
Phone (562) 594-6644

Merit-based Incentive Payment System (MIPS)

Final score
91.89 of 100Reported as group
Quality
78.69
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anaheim Urgent Care, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Im-FSR Inc. CurrentSince Sep 1, 2025 Accepting new patients
Beach Physical Medicine PC CurrentSince Jan 4, 2023 Accepting new patients
Centinela Freeman Emergency Medical Associates, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Hospitalist Group of Montebello Inc CurrentSince Sep 1, 2025 Accepting new patients
Exer Medical Corporation CurrentSince Sep 1, 2023 Accepting new patients
Anaheim Urgent Care, Inc CurrentSince Aug 1, 2022 Accepting new patients
Anaheim Urgent Care, Inc. Current Accepting new patients

Locations

831 S State College Blvd
Anaheim, CA 92806
Phone (714) 533-2273

26777 Agoura Rd
Calabasas, CA 91302
Phone (818) 880-2225

26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225

6010 Hidden Valley Rd
Ste 150
Carlsbad, CA 92011
Phone (760) 544-8233

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010

2381 Rosecrans Ave
Ste 115
El Segundo, CA 90245
Phone (213) 335-7355

7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271

555 E Hardy St
Inglewood, CA 90301
Phone (310) 419-8636

5512 E Britton Dr
Ste 100
Long Beach, CA 90815
Phone (562) 594-6644

1300 N La Brea Ave
Los Angeles, CA 90028
Phone (323) 464-1336

5717 Melrose Ave
Los Angeles, CA 90038
Phone (323) 957-2273

888 S Figueroa St
Ste 600
Los Angeles, CA 90017

35 W Los Angeles Ave
Moorpark, CA 93021
Phone (805) 529-5370

2701 S Bristol St
Santa Ana, CA 92704
Phone (714) 636-0342

524 Colorado Ave
Santa Monica, CA 90401
Phone (310) 260-2917

1701 Santa Anita Ave
South El Monte, CA 91733
Phone (626) 350-7916

25548 The Old Rd
Ste U1
Stevenson Ranch, CA 91381
Phone (661) 556-9020

701 N Wendy Dr
Thousand Oaks, CA 91320
Phone (805) 375-4400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1316689185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 W 67TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900471918",
            "telephone_number": "213-235-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N VERMONT AVE STE 902",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276094",
            "telephone_number": "323-913-9130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5512 E Britton Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908153149",
            "country_code": "US",
            "telephone_number": "562-594-6644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TASSEW",
        "first_name": "NAHOM",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-11",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95020600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.