NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Mlt Kidane Physician Assistant Corporation

Medical Physician Assistant in Moreno Valley, CA · enumerated 2013 · authorized official Meaza Kidane, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1225471956

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Mlt Kidane Physician Assistant Corporation
Other name <Unavail>
Practice address 12981 Perris Blvd, Suite #101, Moreno Valley, CA, 92553
Phone (951) 571-0632
Fax (951) 571-4149
Enumeration date Apr 11, 2013
Last updated in NPPES Apr 11, 2013

Taxonomy & classification

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA20768 (CA) Primary

Authorized official

Name Meaza Kidane
Title President
Phone (951) 571-0632

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Mlt Kidane Physician Assistant Corporation located?
The practice location on file with NPPES is in Moreno Valley, CA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-04-11. Verify at npiregistry.cms.hhs.gov.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-04-11.