Active NPI
Selam Tessema Mulugeta
- Psychiatry Physician
- Los Angeles, CA
National Provider Identifier
1801656046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 15407
- Practice address
- 1200 N State St
Los Angeles, CA 90089-1001 - Phone
- (323) 409-5555
- NPI assigned
- Mar 21, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 15407 | CA | Primary |
Addresses
Primary practice location
1200 N State St
Los Angeles, CA 90089-1001
Mailing address
1200 N State St
Los Angeles, CA 90089-1001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15407 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753142400000",
"number": "1801656046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N STATE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900891001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N STATE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900891001",
"telephone_number": "323-409-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULUGETA",
"first_name": "SELAM",
"middle_name": "TESSEMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-21",
"last_updated": "2025-07-22",
"certification_date": "2025-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "15407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
- Multi Specialty Medical Group Professional Corporation
- Multicare Health Center
- Multicultural Counseling and Empowerment Center, Inc.
- Multispecialty Surgical & Wound Care Traveling Consultants
- Multispecialty Surgical & Wound Care Traveling Consultants
- Sean Mulvihill
- Connie Y Mun-Price, D.O.
- Dong W Mun, MD
- Katherine Mun, M.D.
- Sujin Mun
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.