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

Kidus Degu

Individual provider Case Manager/Care Coordinator · NPI 1336981141

Kidus Degu is a Case Manager/Care Coordinator in San Diego, California. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3

Practice location Address checks out

1260 Morena Blvd Ste 100
San Diego, CA 92110-3850
Phone: (619) 398-0355
Show map & directions

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

Additional practice locations (1)

  • 3132 Jefferson St, San Diego, CA 92110-4421 — (619) 683-3100

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X
Case Manager/Care Coordinator Taxonomy 171M00000X
Day Training/Habilitation Specialist Taxonomy 373H00000X

Record details

NPI number1336981141
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 11, 2024
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025

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