TSIGEREDA TESFAYE NP
NPI 1386031086
Nurse Practitioner - Family in Tustin, CA
About Tsigereda Tesfaye Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TSIGEREDA TESFAYE NP (NPI 1386031086) is an individual family provider in Tustin, California, licensed in California (95002245) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Aliso Viejo, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tsigereda Tesfaye Np 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.
Medicare Billing Reassignments
2Medicare enrollment records show Tsigereda Tesfaye reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Irvine, CA 92604
- Reassigned Medicare billing, California enrollment
- 212 clinicians in this Medicare group
Orange, CA 92868
- Reassigned Medicare billing, California enrollment
- 1,699 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92780 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tsigereda Tesfaye's NPI number?
The NPI number for Tsigereda Tesfaye is 1386031086. It was assigned to this individual provider in the NPPES registry on April 20, 2015.
Where is Tsigereda Tesfaye located?
Tsigereda Tesfaye practices at 1095 Irvine Blvd, Tustin, CA 92780. The listed phone number is (714) 505-7110.
What is Tsigereda Tesfaye's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tsigereda Tesfaye enrolled in Medicare?
Yes. Tsigereda Tesfaye 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.
Which organizations bill Medicare for Tsigereda Tesfaye's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tsigereda Tesfaye reassigns Medicare benefits to 2 organizations: Minuteclinic Diagnostic Medical Group Of Orange County Inc (Irvine, CA) and Providence Medical Foundation (Orange, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tsigereda Tesfaye's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tsigereda Tesfaye was last updated on March 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Tsigereda Tesfaye, NP · NPI 1386031086
Family physician in Tustin, California. Individual provider, active in the CMS NPPES registry since April 20, 2015.
## Identity
- **NPI:** 1386031086 (Entity type: Individual)
- **Enumerated:** April 20, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95002245 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1095 IRVINE BLVD, Tustin, CA 92780-3526
- **Phone:** (714) 505-7110
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Minuteclinic Diagnostic Medical Group Of Orange County Inc (NPI 1104013879, Irvine, CA); Providence Medical Foundation (NPI 1801443510, Orange, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** March 16, 2023
- **Other identifiers:** Medicaid 1386031086 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1386031086) · Data from the CMS NPPES public registry.