Provider Demographics
NPI:1184725798
Name:SEARE, TSEHAYE (MD)
Entity type:Individual
Prefix:
First Name:TSEHAYE
Middle Name:
Last Name:SEARE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16240 PALOMINO MESA PL
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92127-4446
Mailing Address - Country:US
Mailing Address - Phone:928-261-3037
Mailing Address - Fax:928-341-8750
Practice Address - Street 1:2185 CITRACADO PKWY
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92029-4159
Practice Address - Country:US
Practice Address - Phone:760-291-6700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ31885207R00000X
CAC53615208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1831354174OtherGROUP NPI
AZ930869Medicaid
AZAZ0767070OtherBCBS
AZP00253345OtherRRMC
AZZ102197Medicare PIN
AZZ117583Medicare PIN
AZZ76600Medicare PIN
AZ1831354174OtherGROUP NPI