Mesa Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MESA PHARMACY

Practice address

14085 Newport Ave
Tustin, CA 92780-5172

Phone

(714) 505-2231

Fax

(714) 505-2235

NPI assigned

Jul 30, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mytu DO

Title

Owner

Phone

(714) 425-2706

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1033124664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14085 NEWPORT AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927805172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14085 NEWPORT AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927805172",
            "telephone_number": "714-505-2231",
            "fax_number": "714-505-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "MYTU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-425-2706"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY47404",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5618244",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Metabolic Medicine & Fitness Center
• Beatriz Ademar Meza Payan, ACSW
• Michael J Chen, D.D.S. Inc. (Tustin Dental Group)
• Michael J. Paquette, D.D.S., Inc.
• Michael K Corey Chiropractic Inc (WellnessStop Chiropractic Health Center)

• Community/Retail Pharmacy in Tustin, CA
• Providers in Tustin, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.