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

Mr. Beyene Tesfaye

Individual provider Physician Assistant · NPI 1609587328

Mr. Beyene Tesfaye is a Physician Assistant in Burlingame, California. Qualified in 2022, 4 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
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Practice location Address checks out

1501 Trousdale Dr
Burlingame, CA 94010-4506
Phone: (650) 652-8700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4150 Clement St, San Francisco, CA 94121-1563 — (415) 221-4810

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 61994 (CA)

Record details

NPI number1609587328
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 13, 2022
Last updated in NPPESJuly 31, 2024
Certification dateJuly 31, 2024
Mailing address325 Distel Cir, Los Altos, CA 94022-1408

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Burlingame