Individual provider Active NPI

Yohannes Abraham Gebreegziabher, M.D.

  • Cardiovascular Disease Physician
  • Turlock, CA
National Provider Identifier
1700032216
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A 106570 Issued in CA
Practice address
777 E Hawkeye Ave
Ste 3
Turlock, CA 95380-7506
Phone
(209) 575-4575
Fax
(209) 575-4598
NPI assigned
Aug 15, 2008
Last updated
Mar 26, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A 106570 CA Primary

Addresses

Primary practice location

777 E Hawkeye Ave
Ste 3
Turlock, CA 95380-7506

Mailing address

PO Box 4978
Modesto, CA 95352-4978
Phone (209) 575-4575

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090805000525 CA Practitioner - Cardiovascular Disease (Cardiology) 4587717756 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Valley Cardiovascular Medical Group IncGroup PAC ID 3476702242, 5 clinicians

Practice addresses (Care Compare)

600 W I St
Suite a
Los Banos, CA 93635-3460
Phone (209) 826-4800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A 106570CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Vascular and Vein Surgery Center CurrentSince Dec 5, 2025 Accepting new patients
Central Valley Cardiovascular Medical Group, Inc CurrentSince Apr 26, 2010 Accepting new patients
Memorail Hospital of Los Banos Past Accepting new patients
Emanuel Medical Center, Inc. Past Accepting new patients
Reza Vafadouste MD a Medical Corporation Cardiovascular Disease PastSince Aug 1, 2012 Accepting new patients
Emanuel Medical Group, Inc. Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

311 W I St
Los Banos, CA 93635
Phone (209) 826-2222

600 W I St
Ste A
Los Banos, CA 93635
Phone (209) 826-4800

3150 G St
Ste A
Merced, CA 95340
Phone (209) 385-2240

205 W Granger Ave
Modesto, CA 95350
Phone (209) 571-0288

1508 Colorado Ave
Turlock, CA 95380
Phone (209) 668-8030

1512 Colorado Ave
Turlock, CA 95380
Phone (209) 668-8030

777 E Hawkeye Ave
Turlock, CA 95380
Phone (209) 385-2240

777 E Hawkeye Ave
Ste 3
Turlock, CA 95380
Phone (209) 667-1718

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: centralvalleycardiovascularmedicalgroup.yohannesgebreegziabher@129545.advancedmd-direct.com
  • Direct secure messaging: yohannes.gebreegziabher.p1@direct.castle.nextgenshare.com

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1700032216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4978",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953524978",
            "telephone_number": "209-575-4575",
            "fax_number": "209-575-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E HAWKEYE AVE",
            "address_2": "STE 3",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953807506",
            "telephone_number": "209-575-4575",
            "fax_number": "209-575-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBREEGZIABHER",
        "first_name": "YOHANNES",
        "middle_name": "ABRAHAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-15",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A 106570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

Verify at the official NPI Registry.