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SELEMAWIT TEKLIA GHEBRENDRIAS
NPI 1407352743
Obstetrics & Gynecology in La Jolla, CA

Active since April 04, 2018PECOS EnrolledAccepts Medicare Assignment
9300 CAMPUS POINT DR, LA JOLLA, CA 92037(858) 249-1206 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 14, 2025, Dec 17, 2024 (2 updates tracked since 2024).

About Selemawit Teklia Ghebrendrias NPPES

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

SELEMAWIT TEKLIA GHEBRENDRIAS (NPI 1407352743) is an individual obstetrics & gynecology provider in La Jolla, California, licensed in California (A166026) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, maintains 7 additional practice locations, and is a graduate of George Washington University School Of Medicine (2018).

NPPES Registry Identity

NPI1407352743
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameSELEMAWIT TEKLIA GHEBRENDRIAS
Location Address9300 CAMPUS POINT DRLa Jolla, CA 92037-1300
Mailing AddressFile 57326Los Angeles, CA 90074-7326 · (800) 926-8273
Phone(858) 249-1206
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2018
Enumeration DateApril 4, 2018
Last NPPES UpdateNovember 14, 20252 updates tracked since enumeration
NPPES CertifiedNovember 14, 2025
✔ NPI 1407352743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A166026
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
9300 CAMPUS POINT DR, La Jolla, CA 92037
Open in Google Maps ↗

Secondary Practice Locations 7

Location 1200 W Arbor DrSan Diego, CA 92103-9000 · Phone (800) 926-8273
Location 216950 Via TazonSan Diego, CA 92127-1607 · Phone (800) 926-8273
Location 38910 Villa La Jolla DrLA Jolla, CA 92037-1701 · Phone (800) 926-8273
Location 49333 Genesee AveSan Diego, CA 92121-2111 · Phone (800) 926-8273
Location 54168 Front StSan Diego, CA 92103-2030 · Phone (800) 926-8273
Location 66030 Village WaySan Diego, CA 92130-2972 · Phone (800) 926-8273
Location 74910 Directors PlSan Diego, CA 92121-3811 · Phone (800) 926-8273

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

Selemawit Teklia Ghebrendrias 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 ID5294262093
PECOS Enrollment IDI20241218000489
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.

Medicare Billing Reassignment

Medicare enrollment records show Selemawit Ghebrendrias reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Regents Of The University Of California
9.2 mi
Obstetrics & Gynecology
200 W ARBOR DR
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 171 clinicians in this Medicare group
NPI 1174626618 (800) 926-8273

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92037 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

NICOLE PIMENTEL PALOMINO MS, RD
Dietitian, Registered
9300 CAMPUS POINT DR
LA JOLLA, CA 92037
San Diego County (800) 926-8273
ABHISHEK GADRE MD
Internal Medicine
9300 CAMPUS POINT DR
LA JOLLA, CA 92037
San Diego County (858) 657-7118
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Pharmacy
9300 CAMPUS POINT DR, RM LL-463
LA JOLLA, CA 92037
San Diego County (858) 657-5891
MIRA MARIA JOHN MD
Internal Medicine (Critical Care Medicine)
9300 CAMPUS POINT DR
LA JOLLA, CA 92037
San Diego County (800) 926-8273
ALEXANDRA MASSEY PA-C
Physician Assistant
9300 CAMPUS POINT DR
LA JOLLA, CA 92037
San Diego County (858) 657-7000
TAMMARAH SKLARZ
Internal Medicine (Hematology)
9300 CAMPUS POINT DR
LA JOLLA, CA 92037
San Diego County (800) 926-8273
TIMOTHY YUSHIN KIM
Neurological Surgery
9300 CAMPUS POINT DR
LA JOLLA, CA 92037
San Diego County (530) 574-5731
SABRINA BIERMAN MS, RD, CNSC
Dietitian, Registered (Nutrition, Pediatric)
9300 CAMPUS POINT DR
LA JOLLA, CA 92037
San Diego County (858) 249-6142

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 Selemawit Ghebrendrias's NPI number?

The NPI number for Selemawit Ghebrendrias is 1407352743. It was assigned to this individual provider in the NPPES registry on April 4, 2018.

Where is Selemawit Ghebrendrias located?

Selemawit Ghebrendrias practices at 9300 Campus Point Dr, La Jolla, CA 92037. The listed phone number is (858) 249-1206.

What is Selemawit Ghebrendrias's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Selemawit Ghebrendrias enrolled in Medicare?

Yes. Selemawit Ghebrendrias 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 organization bills Medicare for Selemawit Ghebrendrias's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Selemawit Ghebrendrias reassigns Medicare benefits to Regents Of The University Of California (San Diego, CA). The 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 Selemawit Ghebrendrias'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 Selemawit Ghebrendrias was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.