Bereket Tewelde

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95234503 Issued in CA

Practice address

438 Zachary Dr
Vacaville, CA 95687-7841

Phone

(909) 363-6127

NPI assigned

Jan 17, 2026

Sex

Male

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": "1768608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768608000000",
    "number": "1437018231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 ZACHARY DR",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956877841",
            "telephone_number": "909-363-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 ZACHARY DR",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956877841",
            "telephone_number": "909-363-6127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEWELDE",
        "first_name": "BEREKET",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-01-17",
        "last_updated": "2026-01-17",
        "certification_date": "2026-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95234503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Tennyson, EDD
• Terrell B Vanaken MD Inc
• Candace Rebecca Teska, LCSW
• Kathryn Veronica Tessmer, MFT
• Gina Patrice Tevis, LMFT
• Thuong Thai, PHARMD, RPH
• Annanya Thakur
• Tiffany Thang
• The Meal Ladies, LLC
• The Next Step Physical Repair

• Registered Nurse in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2026; 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.