NPI
Meaza Z Kidane
NPI 1174853907
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- PA-C
- Type
- Individual
- Enumeration date
- 2009-12-29
- Last updated
- 2024-05-29
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Specialties
Licenses
- License CA
- 20768
Location
- Practice location
- 19789 Mt Wasatch Dr
- City
- Riverside CA
- Postal code
- 92508-3281
- Phone
- (951) 251-9860
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Medical Physician Assistants in Riverside, CA. 59 with this primary taxonomy in the public file.
Other NPIs in Riverside, CA. 16,542 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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