Abiy Meshesha MD, Inc.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A108595 Issued in CA

Legal business name

ABIY MESHESHA MD, INC.

Practice address

220 S Akers St
Suite C
Visalia, CA 93291-5179

Phone

(559) 636-8600

Fax

(559) 636-9700

NPI assigned

Aug 10, 2009

Last updated

Aug 10, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abiy Meshesha, MDNPI 1639319783

Title

President

Phone

(559) 636-8600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Abiy Akalu Meshesha, M.D

  • Surgery Physician
  • Visalia, CA
  • NPI 1639319783
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249862400000",
    "number": "1346472354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S AKERS ST",
            "address_2": "SUITE C",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915179",
            "telephone_number": "559-636-8600",
            "fax_number": "559-636-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S AKERS ST",
            "address_2": "SUITE C",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915179",
            "telephone_number": "559-636-8600",
            "fax_number": "559-636-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABIY MESHESHA MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-10",
        "last_updated": "2009-08-10",
        "status": "A",
        "authorized_official_last_name": "MESHESHA",
        "authorized_official_first_name": "ABIY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-636-8600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A108595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Visalia, CA
• Providers in Visalia, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.