Desalegn Ejigu

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95009204 Issued in CA

Practice address

3001 Douglas Blvd Ste 325
Roseville, CA 95661-4289

Phone

(916) 241-9844

NPI assigned

Jul 12, 2018

Last updated

Jul 12, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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

• Onsite Primary Care and Nursing

  • Nursing Care Agency
  • Woodland, CA
  • NPI 1487289195
  Medicare reassignment NPD Authorized official
• Andrew Nangalama MD, PHD, PC

  • Internal Medicine Physician
  • Orangevale, CA
  • NPI 1699289181
  Medicare reassignment NPD
• Glenl Xiong, Mdinc

  dba Generative Health Medical Group

  • Primary Care Clinic/Center
  • Sacramento, CA
  • NPI 1164191417
  Medicare reassignment NPD
• Primecare Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Sacramento, CA
  • NPI 1811889603
  NPD Authorized official
• California Post-Acute Care Services, P.C.

  • Internal Medicine Physician
  • Roseville, CA
  • NPI 1730579145
  NPD

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1689150716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 DOUGLAS BLVD STE 325",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 DOUGLAS BLVD STE 325",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614289",
            "telephone_number": "916-241-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EJIGU",
        "first_name": "DESALEGN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-12",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95009204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muhammed Waleed Effendi, MSN-FNP-C
• Eric A Egli, PHD
• Omar Eid, PHARMD
• Eilya Moghaddam MD Corp
• Lindsey Eischen
• Elizabeth I Ekpo, M.D.
• Nastassja El-Sayed, MOT, OTR
• Jessica R Elack, RADT
• Mostafa Eldin
• Elevation Prosthetics and Orthotics, Inc.

• Family Nurse Practitioner in Roseville, CA
• Providers in Roseville, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.

Verify at the official NPI Registry.