Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Tewodros Assefa Kidane, MD, MSC

Individual provider Family Medicine Physician · NPI 1134457161

Dr. Tewodros Assefa Kidane, MD, MSC is a Family Practice in Fresno, California. Qualified in 1995, 31 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
31
Licensed in
CA
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

155 N Fresno St Family & Community Medicine Dept
Fresno, CA 93701-2302
Phone: (559) 499-6450
Fax: (559) 499-6451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A110208 (CA)

Record details

NPI number1134457161
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MSC
Sole proprietorNo
NPI enumeratedDecember 2, 2009
Last updated in NPPESDecember 15, 2021

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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