Yaroon Gebresilassie Kochito, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95001599 Issued in CA

Practice address

1999 Mowry Ave Ste Abdfn
Fremont, CA 94538-1738

Phone

(510) 770-8040

NPI assigned

May 6, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mr. Aschalew Kochito Gebresilassie Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Lumira Healthcare

  • Federally Qualified Health Center (FQHC)
  • Livingston, CA
  • NPI 1427110329
  Medicare reassignment NPD
• Bay Area Community Health

  • Federally Qualified Health Center (FQHC)
  • Fremont, CA
  • NPI 1184791998
  NPD
• Lumira Healthcare

  • Federally Qualified Health Center (FQHC)
  • Hilmar, CA
  • NPI 1124300207
  NPD
• Lumira Healthcare

  • Federally Qualified Health Center (FQHC)
  • Modesto, CA
  • NPI 1649099151
  NPD
• Bay Area Community Health

  • Federally Qualified Health Center (FQHC)
  • Fremont, CA
  • NPI 1942387188
  NPD (past)

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1942610464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 MOWRY AVE STE ABDFN",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381738",
            "telephone_number": "510-770-8040",
            "fax_number": "916-515-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 MOWRY AVE STE ABDFN",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381738",
            "telephone_number": "510-770-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHITO",
        "first_name": "YAROON",
        "middle_name": "GEBRESILASSIE",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "791125",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95001599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASCHALEW",
            "last_name": "GEBRESILASSIE",
            "middle_name": "KOCHITO",
            "prefix": "MR.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eileen Ko
• Phou Thwe Ko
• Virginia Ko, O.D.
• Seokhooi Koay, RN, CDE
• Wajma Kochi
• Darya Koczela
• Ashi Kodi
• Priscilla Koh
• Amena Kohgadai
• Kohli Professional Dental Corporation

• Family Nurse Practitioner in Fremont, CA
• Providers in Fremont, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.