Individual provider Active NPI

Yohannes Desalegn Shibeshi

  • Transportation Broker
  • San Diego, CA
National Provider Identifier
1841973906
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation BrokerTaxonomy code 347E00000X
License
7DKN160 Issued in CA
Practice address
4985 Market St Apt 318
San Diego, CA 92102-4730
Phone
(619) 252-5846
NPI assigned
Aug 7, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Broker 347E00000X 7DKN160 CA Primary

Addresses

Primary practice location

4985 Market St Apt 318
San Diego, CA 92102-4730

Mailing address

4985 Market St Apt 318
San Diego, CA 92102-4730
Phone (619) 252-5846

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

LicenseStateTypeSpecialty
7DKN160CAMDTransportation Broker

NPI Registry JSON

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1841973906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4985 MARKET ST APT 318",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921024730",
            "telephone_number": "619-252-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4985 MARKET ST APT 318",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921024730",
            "telephone_number": "619-252-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIBESHI",
        "first_name": "YOHANNES",
        "middle_name": "DESALEGN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": "CA",
            "license": "7DKN160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.