Individual provider Active NPI

Almaz Ghebremedhin, LVN

  • Licensed Vocational Nurse
  • Martinez, CA
National Provider Identifier
1386435808
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
VN219999 Issued in CA
Practice address
2500 Alahambra Ave.
Martinez, CA 94553
Phone
(925) 370-5000
NPI assigned
May 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X VN219999 CA Primary

Addresses

Primary practice location

2500 Alahambra Ave.
Martinez, CA 94553

Mailing address

1170 19TH St
Oakland, CA 94607-2327
Phone (510) 393-4257

Other practice location 1

494 Blossom Way
Cherryland, CA 94541-1948
Phone (510) 582-7676

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

State licenses

LicenseStateTypeSpecialty
VN219999CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1386435808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 19TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946072327",
            "telephone_number": "510-393-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ALAHAMBRA AVE.",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "94553",
            "telephone_number": "925-370-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "494 Blossom Way",
            "address_purpose": "LOCATION",
            "city": "Cherryland",
            "state": "CA",
            "postal_code": "945411948",
            "country_code": "US",
            "telephone_number": "510-582-7676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHEBREMEDHIN",
        "first_name": "ALMAZ",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN219999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.