Mraf Kidane-Mariam

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95182187 Issued in CA

Practice address

4153 Hamilton St
San Diego, CA 92104-1718

Phone

(619) 530-4141

NPI assigned

Jun 28, 2019

Last updated

Jun 28, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1427610559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4153 HAMILTON ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921041718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4153 HAMILTON ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921041718",
            "telephone_number": "619-530-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDANE-MARIAM",
        "first_name": "MRAF",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-28",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95182187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcy Kiar, LCSW
• Maxine Lorraine Kibble
• Kebron B Kibret
• Elizabeth C Kicko, WHNP, CNM, PHN
• Neha Viseshasai Kidambi, MD
• Zinnia Amaresh Kidane, NP
• Denise Annette Kidd
• Melissa Kidd, CHC
• Anthony Kidder
• Hailey Anne Kidder, IDC

• Registered Nurse in San Diego, CA
• Providers in San Diego, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; 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.