Tizita Amde-michael

CPNP | Nurse Practitioner - Pediatrics

Tizita Amde-michael is a Los Angeles, California based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Tizita Amde-michael is 17768 in California. Her current practice location is 600 St Paul Ave, Suite 200, Los Angeles. Patients can reach her at 213-482-6400 or can fax her at 213-482-6408. Tizita Amde-michael is CPNP with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1578731147.
Tizita Amde-michael specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.

Complete Profile:
Tizita Amde-michael speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Tizita Amde-michael
Specialization: Pediatrics Nurse Practitioner (PNP)
Gender:Female
Credentials: CPNP
Practice Address:600 St Paul Ave, Suite 200, Los Angeles,
California, 90017-2038
Phone:213-482-6400
Fax:213-482-6408
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1578731147
NPI Enumeration Date: 15 Feb, 2008
NPI Last Update On: 08 Jan, 2016

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tizita Amde-michael are as mentioned below.
License NumberSpecializationStateStatus
17768 CaliforniaPrimary
17768Pediatrics CaliforniaSecondary
661686Pediatrics CaliforniaSecondary
4436Pediatrics WisconsinSecondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Tizita Amde-michael such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
1578731147MedicaidWisconsin
100500484MedicaidCalifornia
100500484 GROUPMedicaidNevada
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Tizita Amde-michael
600 St Paul Ave, Suite 200
Los Angeles, California
Zip: 90017-2038
Phone Number: 213-482-6400
Fax Number: 213-482-6408
Patients can reach Tizita Amde-michael at 600 St Paul Ave, Suite 200, Los Angeles, California or can call to book an appointment on 213-482-6400.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.