Individual provider Active NPI

Binyam Gebregziaber Gebrehiwot I

  • Durable Medical Equipment & Medical Supplies
  • San Diego, CA
National Provider Identifier
1972147825
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
105879 Issued in CA
Practice address
4951 68TH St
San Diego, CA 92115-1704
Phone
(858) 302-9839
NPI assigned
Nov 4, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 105879 CA Primary

Addresses

Primary practice location

4951 68TH St
San Diego, CA 92115-1704

Mailing address

4951 68TH St
San Diego, CA 92115-1704

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aa Medical Equipment & Supply LLC Durable Medical Equipment & Medical Supplies CurrentSince Nov 10, 2019 Accepting new patients

Locations

4951 68th St
San Diego, CA 92115
Phone (619) 794-4260

Organizations & group practices 1

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": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1972147825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4951 68TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921151704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4951 68TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921151704",
            "telephone_number": "858-302-9839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBREHIWOT",
        "first_name": "BINYAM",
        "middle_name": "GEBREGZIABER",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "105879",
            "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 Nov 4, 2019; 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.