TIGIST MATEBIE TESHALE
NPI 1871065755
Nurse Practitioner - Family in Torrance, CA

Q: What is Tigist Teshale's NPI number?

The NPI number for Tigist Teshale is 1871065755. It was assigned to this individual provider in the NPPES registry on December 17, 2018.

Q: What is Tigist Teshale's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Tigist Teshale was last updated on February 19, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 17, 2018PECOS EnrolledAccepts Medicare Assignment

4235 PACIFIC COAST HWY, TORRANCE, CA 90505(310) 373-6847 Get Directions Write a Review

NPPES record last updated: February 19, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 19, 2019, Dec 17, 2018 (2 updates tracked since 2018).

On this page

About Tigist Matebie Teshale NPPES

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

TIGIST MATEBIE TESHALE (NPI 1871065755) is an individual family provider in Torrance, California, licensed in California (95010070) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1871065755

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTIGIST MATEBIE TESHALE

Location Address4235 PACIFIC COAST HWYTorrance, CA 90505

Mailing Address4235 Pacific Coast HwyTorrance, CA 90505-5525

Phone(310) 373-6847

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateDecember 17, 2018

Last NPPES UpdateFebruary 19, 20192 updates tracked since enumeration

✔ NPI 1871065755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95010070

4235 PACIFIC COAST HWY, Torrance, CA 90505

Open in Google Maps ↗

Secondary Practice Locations 3

Location 15616 Corbett StLos Angeles, CA 90016-4530 · Phone (310) 916-7244

Location 213171 Mindanao WayMarina Del Rey, CA 90292-6307 · Phone (714) 309-7766

Location 34235 Pacific Coast HwyTorrance, CA 90505-5525 · Phone (310) 373-6847

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

Tigist Matebie Teshale 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 ID345580650

PECOS Enrollment IDI20190325001335

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 90505 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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 18

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

GARFIELD BEACH CVS LLC

Pharmacy