Active NPI
Yemisrach A. Beyene, M.D.
- Family Medicine Physician
- El Cajon, CA
National Provider Identifier
1528114980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C168678
- Practice address
- 4921 Dehesa Rd
El Cajon, CA 92019-2929 - Phone
- (619) 445-0707
- Fax
- (619) 445-0901
- NPI assigned
- Jan 26, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C168678 | CA | Primary |
Addresses
Primary practice location
4921 Dehesa Rd
El Cajon, CA 92019-2929
Mailing address
4921 Dehesa Rd
El Cajon, CA 92019-2929
Phone (619) 445-0707
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| YB080711 | Other | CHAMPUS-CHAMPUS | |
| 080H262390 | Other | BLUE CROSS-BLUE CROSS | |
| YB080711 | Other | COMMERCIAL-COMMERCIAL NUMBER | |
| 478543410 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5442 Sycuan Rd
El Cajon, CA 92019-1816
Phone (619) 445-0707
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C168678 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Family Medicine | Current | Accepting new patients |
| Edward W Sparrow Hospital Association | Family Medicine | Current | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
1600 W Grand River Ave
Ste 4
Okemos, MI 48864
Phone (517) 381-6880
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- ybeyene3133@sparrowdirecthie.org
Organizations & group practices 4
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.
-
- Clinic/Center
- El Cajon, CA
- NPI 1427197078
-
- Pediatrics Physician
- Lansing, MI
- NPI 1831139088
-
- Adult Health Nurse Practitioner
- Lansing, MI
- NPI 1265220438
Family Medicine
-
- Family Medicine Physician
- Okemos, MI
- NPI 1437102357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770076800000",
"number": "1528114980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4921 DEHESA RD",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920192929",
"telephone_number": "619-445-0707",
"fax_number": "619-445-0901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4921 DEHESA RD",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920192929",
"telephone_number": "619-445-0707",
"fax_number": "619-445-0901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEYENE",
"first_name": "YEMISRACH",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2026-02-03",
"certification_date": "2026-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "C168678",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS-CHAMPUS",
"identifier": "YB080711",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-BLUE CROSS",
"identifier": "080H262390",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL-COMMERCIAL NUMBER",
"identifier": "YB080711",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "478543410",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.