Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Assefa Ejigu Mekonnen, PMHNP

Individual provider Family Nurse Practitioner · NPI 1942605126

Assefa Ejigu Mekonnen, PMHNP is a Nurse Practitioner in Los Angeles, California. Qualified in 2010, 16 years ago. Practices with Addis Medical Group a Medical Corporation, a 17-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
16
Licensed in
CA
In the registry since
2014
Specialties on file
3
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

1711 W Temple St
Los Angeles, CA 90026-7329
Phone: (213) 989-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5715 S Broadway, Los Angeles, CA 90037-4131 — (213) 471-4139

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95001041 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95001041 (CA)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 95001041 (CA)

Record details

NPI number1942605126
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedOctober 29, 2014
Last updated in NPPESDecember 1, 2023
Certification dateDecember 1, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Addis Medical Group A Medical Corporation — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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