KIFLE GASHIE JIKAMO
NPI 1811670615
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA

Q: What is Kifle Jikamo's NPI number?

The NPI number for Kifle Jikamo is 1811670615. It was assigned to this individual provider in the NPPES registry on August 8, 2023.

Q: What is Kifle Jikamo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kifle Jikamo was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since August 08, 2023PECOS Enrolled

3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161(858) 552-8585(619) 374-7300 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 3, 2026, Aug 8, 2023 (2 updates tracked since 2023).

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About Kifle Gashie Jikamo NPPES

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

KIFLE GASHIE JIKAMO (NPI 1811670615) is an individual psychiatric/mental health provider in San Diego, California, licensed in California (95026572) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811670615

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameKIFLE GASHIE JIKAMO

Location Address3350 LA JOLLA VILLAGE DRSan Diego, CA 92161-0002

Mailing Address728 N Valley View DrChula Vista, CA 91914-2432 · (206) 397-6173 · Fax (619) 374-7300

Phone(858) 552-8585

Fax(619) 374-7300

Sole ProprietorYes

Enumeration DateAugust 8, 2023

Last NPPES UpdateMarch 3, 20262 updates tracked since enumeration

NPPES CertifiedMarch 3, 2026

✔ NPI 1811670615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95026572

3350 LA JOLLA VILLAGE DR, San Diego, CA 92161

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kifle Gashie Jikamo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kifle Jikamo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC

405 mi

Mental Health

99 S ALMADEN BLVD STE 600
San Jose, CA 95113

Reassigned Medicare billing, California enrollment
3,139 clinicians in this Medicare group

NPI 1154994846 (408) 402-4385

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 92161 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

Most-billed visit code 99214

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.

DR. JENNIFER ANNE FREIMUND M.D.

Internal Medicine (Geriatric Medicine)

3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161

San Diego County (858) 552-7475

MRS. LINDA REID HOLLAND PT

Physical Therapist

3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161

San Diego County (858) 552-7487

DR. JONATHAN M MEYER M.D.

Psychiatry & Neurology (Psychiatry)

3350 LA JOLLA VILLAGE DR, 116-A
SAN DIEGO, CA 92161

San Diego County (858) 642-3570

ANDREW BISMARK

Psychologist (Clinical)

3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161

San Diego County (858) 245-5825

LORNA FRANCES DOUCETTE

Pharmacist (Psychiatric)

3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161

San Diego County (828) 545-5072

MS. LISA ARAI PHARM.D.

Pharmacist (Psychiatric)

3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161

San Diego County (858) 552-8585

HAYLEY MARIE HOWELLS MPT

Physical Therapist

3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161

San Diego County (858) 642-3138

JOAN MARIE FITZGERALD RN, MSN, FNP

Nurse Practitioner (Family)

3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161

San Diego County (858) 552-8585

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 Kifle Jikamo's NPI number?

The NPI number for Kifle Jikamo is 1811670615. It was assigned to this individual provider in the NPPES registry on August 8, 2023.

Where is Kifle Jikamo located?

Kifle Jikamo practices at 3350 La Jolla Village Dr, San Diego, CA 92161. The listed phone number is (858) 552-8585.

What is Kifle Jikamo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kifle Jikamo enrolled in Medicare?

Yes. Kifle Jikamo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kifle Jikamo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kifle Jikamo reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, 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 Kifle Jikamo'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 Kifle Jikamo was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.