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

Desalegn Ejigu

Individual provider Family Nurse Practitioner · NPI 1689150716

Desalegn Ejigu is a Nurse Practitioner in Roseville, California. Qualified in 2018, 8 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2018

Practice location Address checks out

3001 Douglas Blvd Ste 325
Roseville, CA 95661-4289
Phone: (916) 241-9844
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP95009204 (CA)

Record details

NPI number1689150716
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 12, 2018
Last updated in NPPESJuly 12, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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