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

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: August 09, 2026.

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

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
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

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

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.

Internal Medicine (Geriatric Medicine)
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161
Physical Therapist
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161
Psychiatry & Neurology (Psychiatry)
3350 LA JOLLA VILLAGE DR, 116-A
SAN DIEGO, CA 92161
Psychologist (Clinical)
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161
Pharmacist (Psychiatric)
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161
Pharmacist (Psychiatric)
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161
Physical Therapist
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161
Nurse Practitioner (Family)
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161

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.

What insurance does Kifle Jikamo accept?

Health plans from Providence Health Plan list Kifle Jikamo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 5 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.