Individual provider Active NPI

Gebrehiwot Hailu Yibalih, FNP

  • Family Nurse Practitioner
  • Van Nuys, CA
National Provider Identifier
1811870462
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F07251146 Issued in CA
Practice address
7136 Haskell Ave Ste 205
Van Nuys, CA 91406-4112
Phone
(818) 908-4086
NPI assigned
Jul 30, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F07251146 CA Primary

Addresses

Primary practice location

7136 Haskell Ave Ste 205
Van Nuys, CA 91406-4112

Mailing address

1902 Wellington Rd Apt 1
Los Angeles, CA 90016-1880
Phone (323) 470-7025

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251112001094 CA Practitioner - Nurse Practitioner 3072004613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altea Medical California PCGroup PAC ID 1850740150, 84 clinicians

Practice addresses (Care Compare)

915 Crenshaw Blvd
Los Angeles, CA 90019-1938
Phone (323) 937-5466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F07251146CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Altea Medical California PC CurrentSince Nov 6, 2025 Accepting new patients
Green Cross Medical Surgical Inc PastSince Aug 3, 2025 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

2321 Newburg Rd
Fortuna, CA 95540
Phone (707) 725-4457

5696 Lake Murray Blvd
La Mesa, CA 91942
Phone (619) 460-5225

915 Crenshaw Blvd
Los Angeles, CA 90019
Phone (323) 937-5466

517 S A St
Madera, CA 93638
Phone (559) 673-9228

2424 M St
Merced, CA 95340
Phone (209) 723-2442

2124 57th Ave
Oakland, CA 94621
Phone (510) 261-2628

39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053

700 E Highland Ave
Redlands, CA 92374
Phone (909) 792-5083

3000 N Gate Rd
Seal Beach, CA 90740
Phone (562) 594-5790

9107 Davis Rd
Stockton, CA 95209
Phone (209) 478-6488

2005 River St
Susanville, CA 96130
Phone (530) 257-5341

13333 Fenton Ave
Sylmar, CA 91342
Phone (818) 367-1033

535 Auto Center Dr
Watsonville, CA 95076
Phone (831) 724-0875

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1811870462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 WELLINGTON RD APT 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900161880",
            "telephone_number": "323-470-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7136 HASKELL AVE STE 205",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064112",
            "telephone_number": "818-908-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIBALIH",
        "first_name": "GEBREHIWOT",
        "middle_name": "HAILU",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "F07251146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.