Active NPI
Berhanu Zewdie
- Registered Nurse
- Red Bluff, CA
National Provider Identifier
1659714418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 832317
- Practice address
- 1860B Walnut Street
Red Bluff, CA 96080 - Phone
- (530) 527-5637
- Fax
- (530) 527-0249
- NPI assigned
- Apr 11, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 832317 | CA | Primary |
Addresses
Primary practice location
1860B Walnut Street
Red Bluff, CA 96080
Mailing address
1860B Walnut Street
P.O. Box 400
Red Bluff, CA 96080
Phone (530) 527-5637
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
| License | State | Type | Specialty |
|---|---|---|---|
| 832317 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365638400000",
"number": "1659714418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860B WALNUT STREET",
"address_2": "P.O. BOX 400",
"city": "RED BLUFF",
"state": "CA",
"postal_code": "96080",
"telephone_number": "530-527-5637",
"fax_number": "530-527-0249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1860B WALNUT STREET",
"city": "RED BLUFF",
"state": "CA",
"postal_code": "96080",
"telephone_number": "530-527-5637",
"fax_number": "530-527-0249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEWDIE",
"first_name": "BERHANU",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-11",
"last_updated": "2013-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "832317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Red Bluff, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.