Organization Active NPI

Zelalem Tesday MD a Medical Corporation

  • Obstetrics & Gynecology Physician
  • Huntington Park, CA
National Provider Identifier
1689764128
Registry record updated Sep 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G76854 Issued in CA
Legal business name
ZELALEM TESDAY MD A MEDICAL CORPORATION
Practice address
3111 E Florence Ave
Huntington Park, CA 90255-5829
Phone
(323) 582-9330
Fax
(323) 582-8903
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2009

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

Authorized official

Name
Zelalem Tesfay, MDNPI 1003906553
Title
Owner
Phone
(323) 582-9330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X G76854 CA Primary

Addresses

Primary practice location

3111 E Florence Ave
Huntington Park, CA 90255-5829

Mailing address

3111 E Florence Ave
Huntington Park, CA 90255-5829
Phone (323) 582-9330

Other identifiers 2

IdentifierTypeStateIssuer
00G768544MedicaidCA
05D0985404OtherCACLIA #

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1689764128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 E FLORENCE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555829",
            "telephone_number": "323-582-9330",
            "fax_number": "323-582-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 E FLORENCE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555829",
            "telephone_number": "323-582-9330",
            "fax_number": "323-582-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZELALEM TESDAY MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "TESFAY",
        "authorized_official_first_name": "ZELALEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-582-9330",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G76854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G768544",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA #",
            "identifier": "05D0985404",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; 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.