Mulugeta Temesgen, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · San Diego, CA
NPI 1730926643 · NPPES record last updated Jul 9, 2024
Key facts
- NPI
- 1730926643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 0999874 (CO)
- Practice address
- 34800 Bob Wilson Dr
San Diego, CA 92134-1098 - Phone
- (619) 532-6400
- NPI assigned
- Jul 9, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anesthesia Medical Group of Imperial Valley Inc
Practice addresses (Care Compare)
207 W Legion Rd
Brawley, CA 92227-7780
Phone (760) 351-3333
Hospital & facility affiliations
- Pioneers Memorial Healthcare District
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241014004803 | CA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6406388503 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0999874 | CO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Temecula Ca Endoscopy ASC LP | Current | Accepting new patients | |
| Temecula Ca United Surgery Center LP | Current |
Accepting new patients | |
| Temecula Ca United Surgery Center, LP | Current | Accepting new patients | |
| Temecula Ca Endoscopy ASC LP | Current |
Accepting new patients |
Locations
25150 Hancock Ave
Ste 208
Murrieta, CA 92562
Phone (951) 698-8805
31469 Rancho Pueblo Rd
Ste 100
Temecula, CA 92592
Phone (951) 249-5540
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0999874 | CO | Yes |
Addresses
Primary practice location
34800 Bob Wilson Dr
San Diego, CA 92134-1098
Mailing address
2053 Manzana Way
San Diego, CA 92139-4053
Phone (720) 917-4435
Other providers in San Diego, CA
- Oscar Tello
- Samantha Tello
- Nicole Teltoe
- Asavari Tembe
- Mena Temesgen
- John Louis Temple
- Amanda Nicole Templin
- Kara Elizabeth Templin
- Kathleen Ann Templin
- Rowena Gregorio Tena
All providers in San Diego, CA · Certified Registered Nurse Anesthetist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.