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

Ruth Legesse, PA-C

Individual provider Physician Assistant · NPI 1902330863

Ruth Legesse, PA-C is a Physician Assistant in Los Angeles, California. Qualified in 2016, 10 years ago. Practices with Carbon Health Medical Group of California PC, a 332-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

837 W Imperial Hwy
Los Angeles, CA 90044-4110
Phone: (323) 755-9555
Fax: (323) 755-9545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 54229 (CA)

Record details

NPI number1902330863
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 18, 2017
Last updated in NPPESMay 8, 2024
Certification dateNovember 4, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Carbon Health Medical Group Of California Pc — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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