Mlt Kidane Physician Assistant Corporation
NPI 1225471956 · Medical Physician Assistant · Moreno Valley, CA
Mlt Kidane Physician Assistant Corporation is a Medical Physician Assistant organization in Moreno Valley, CA (NPI 1225471956).
Provider details
- NPI number
- 1225471956
- Entity type
- Organization
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Meaza Kidane, President(951) 571-0632
- License
- PA20768 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Med-Hanit Alem Medical Clinic
Registry dates
- Enumerated
- 2013-04-11
- Last updated
- 2013-04-11
Frequently asked questions
- What is Mlt Kidane Physician Assistant Corporation's NPI number?
- Mlt Kidane Physician Assistant Corporation's National Provider Identifier (NPI) is 1225471956, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mlt Kidane Physician Assistant Corporation?
- Mlt Kidane Physician Assistant Corporation is classified in the NPPES registry as Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mlt Kidane Physician Assistant Corporation located?
- Mlt Kidane Physician Assistant Corporation's practice location on file with NPPES is 12981 Perris Blvd, Moreno Valley, CA 92553-4102.
- What is Mlt Kidane Physician Assistant Corporation's phone number?
- The practice phone number listed in the NPPES registry for Mlt Kidane Physician Assistant Corporation is (951) 571-0632.
- Who is the authorized official for Mlt Kidane Physician Assistant Corporation?
- The authorized official listed on Mlt Kidane Physician Assistant Corporation's NPPES record is Meaza Kidane, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mlt Kidane Physician Assistant Corporation's NPI active?
- Yes — Mlt Kidane Physician Assistant Corporation's NPI (1225471956) is active in the NPPES registry as of the last update on 2013-04-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.