Active NPI
Estifanos Weldeselasie Tsegay
- Specialist
- San Francisco, CA
National Provider Identifier
1366645160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 1380 Howard St FL 3
San Francisco, CA 94103-2650 - Phone
- (415) 255-3544
- Fax
- (415) 255-3564
- NPI assigned
- Jun 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1380 Howard St FL 3
San Francisco, CA 94103-2650
Mailing address
1380 Howard St FL 3
San Francisco, CA 94103-2650
Phone (415) 255-3544
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5331 | Other | SFGH INTERNAL USE ONLY | |
| 5331 | Other | CBHS INTERNAL USE ONLY-COMMERCIAL NUMBER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1366645160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1380 HOWARD ST FL 3",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941032650",
"telephone_number": "415-255-3544",
"fax_number": "415-255-3564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 HOWARD ST FL 3",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941032650",
"telephone_number": "415-255-3544",
"fax_number": "415-255-3564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSEGAY",
"first_name": "ESTIFANOS",
"middle_name": "WELDESELASIE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-08",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SFGH INTERNAL USE ONLY",
"identifier": "5331",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CBHS INTERNAL USE ONLY-COMMERCIAL NUMBER",
"identifier": "5331",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.