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

Misganaw Kassie Wubneh

Individual provider Surgical Assistant · NPI 1487544581

Misganaw Kassie Wubneh is a Surgical Assistant in Elk Grove, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

8416 W Wing Dr
Elk Grove, CA 95758-9558
Phone: (916) 309-9753
Show map & directions

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

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence CPT-02427036 (CA)

Record details

NPI number1487544581
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 9, 2025
Last updated in NPPESJuly 9, 2025
Certification dateJuly 9, 2025