Tadele Worku, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95041971 Issued in CA

Practice address

25222 Lawton Ave
Loma Linda, CA 92354-3541

Phone

(707) 280-2683

NPI assigned

Jan 14, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1700537354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25222 LAWTON AVE",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543541",
            "telephone_number": "707-280-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25222 LAWTON AVE",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543541",
            "telephone_number": "707-280-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORKU",
        "first_name": "TADELE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95041971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Yvonne Woodfin, M.D.
• Roger D. Woodruff, MD
• Melissa Anne Woods
• Roger Kenneth Woolley, DO
• Kaitlyn Wooton, PA
• Miesha Rachelle Wortham, FNP
• Martin David Wresch, RRT
• Andrew P. Wright, MD
• Kathryn Dollis Wright, MD, MA
• Kharl Anthony Wright II, MD

• Registered Nurse in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.