Individual provider Active NPI

Abera Yosef Tesfaye

  • Psychiatric/Mental Health Nurse Practitioner
  • Chula Vista, CA
National Provider Identifier
1396339727
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95016770 Issued in CA
Practice address
2175 Condor Dr Unit 53
Chula Vista, CA 91915-2904
Phone
(805) 284-6497
Fax
(619) 415-8119
NPI assigned
Feb 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95016770 CA Primary

Addresses

Primary practice location

2175 Condor Dr Unit 53
Chula Vista, CA 91915-2904

Mailing address

2175 Condor Dr Unit 53
Chula Vista, CA 91915-2904
Phone (805) 284-6497

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
I20220810003140 CA Practitioner - Nurse Practitioner 2769865633 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Systems IncGroup PAC ID 8628019320, 37 clinicians

Practice addresses (Care Compare)

8775 Aero Dr
Suite 132
San Diego, CA 92123-1779
Phone (858) 573-2600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95016770CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Psychiatric/Mental Health CurrentSince Aug 12, 2025 Accepting new patients
Mental Health Systems, Inc. Current Accepting new patients
Mental Health Systems, Inc. CurrentSince Apr 21, 2022 Accepting new patients
San Diego Psychiatric Services Inc CurrentSince Sep 5, 2023 Accepting new patients
Central Coast Behavioral Health, Inc. Psychiatric/Mental Health PastSince Sep 5, 2023 Accepting new patients
Palm Desert Psychiatry Inc PastSince Mar 1, 2021 Accepting new patients

Locations

8775 Aero Dr
Ste 132
San Diego, CA 92123
Phone (858) 609-8742

9465 Farnham St
San Diego, CA 92123
Phone (858) 576-4311

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1396339727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 CONDOR DR UNIT 53",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919152904",
            "telephone_number": "805-284-6497",
            "fax_number": "619-415-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 CONDOR DR UNIT 53",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919152904",
            "telephone_number": "805-284-6497",
            "fax_number": "619-415-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESFAYE",
        "first_name": "ABERA",
        "middle_name": "YOSEF",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-25",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95016770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.