GETNET T HABTEWOLD
NPI 1043417587
Physician Assistant - Surgical in Los Angeles, CA

Active since June 28, 2007PECOS EnrolledAccepts Medicare Assignment
12021 WILMINGTON AVE, LOS ANGELES, CA 90059(310) 668-4506(310) 763-8909 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Getnet T Habtewold NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GETNET T HABTEWOLD (NPI 1043417587) is an individual surgical provider in Los Angeles, California, licensed in California (PA16709) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1043417587
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameGETNET T HABTEWOLD
Location Address12021 WILMINGTON AVELos Angeles, CA 90059-3019
Mailing Address6087 Risingstar DrCorona, CA 92880-8871
Fax(310) 763-8909
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 28, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1043417587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in CA · PA16709
12021 WILMINGTON AVE, Los Angeles, CA 90059

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Getnet T Habtewold is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587835343
PECOS Enrollment IDI20110927000747
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Otolaryngology
12021 WILMINGTON AVE, DEPT OF OTOLARYNGOLOGY
LOS ANGELES, CA 90059
Physician Assistant
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Counselor (Addiction (Substance Use Disorder))
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Day Training/Habilitation Specialist
12021 WILMINGTON AVE, BUILDING 18 SUITE 4D
LOS ANGELES, CA 90059
Internal Medicine
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Physician Assistant
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Internal Medicine
12021 WILMINGTON AVE
LOS ANGELES, CA 90059
Clinic/Center
12021 WILMINGTON AVE
LOS ANGELES, CA 90059

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Getnet Habtewold's NPI number?

The NPI number for Getnet Habtewold is 1043417587. It was assigned to this individual provider in the NPPES registry on June 28, 2007.

Where is Getnet Habtewold located?

Getnet Habtewold practices at 12021 Wilmington Ave, Los Angeles, CA 90059. The listed phone number is (310) 668-4506.

What is Getnet Habtewold's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Getnet Habtewold enrolled in Medicare?

Yes. Getnet Habtewold is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Getnet Habtewold was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.