Individual provider Active NPI

Meghan Adele McCann

  • Psychiatric/Mental Health Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1063215242
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95076521 Issued in CA
Practice address
10755 Scripps Poway Pkwy
Suite F #103
San Diego, CA 92131-3924
Phone
(858) 699-5040
NPI assigned
Mar 31, 2025
Last updated
Mar 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95076521 CA Primary

Addresses

Primary practice location

10755 Scripps Poway Pkwy
Suite F #103
San Diego, CA 92131-3924

Mailing address

10755 Scripps Poway Pkwy
Suite F #103
San Diego, CA 92131-3924
Phone (858) 699-5040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260107003635 CA Practitioner - Nurse Practitioner 8921584129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Big Leap Medical Group of California P.C.Group PAC ID 8224534870, 4 clinicians

Practice addresses (Care Compare)

16476 Bernardo Ctr Dr
Suite 200
San Diego, CA 92128-2579
Phone (858) 699-5040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95076521CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Velara Wellness Nursing, Inc. Psychiatric/Mental Health Current Accepting new patients
Big Leap Medical Group of California P.C. CurrentSince Nov 22, 2025 Accepting new patients

Locations

7855 Fay Ave
Ste 200
La Jolla, CA 92037
Phone (415) 792-0195

16476 Bernardo Center Dr
Ste 200
San Diego, CA 92128
Phone (858) 215-2170

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1063215242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10755 SCRIPPS POWAY PKWY",
            "address_2": "SUITE F #103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921313924",
            "telephone_number": "858-699-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10755 SCRIPPS POWAY PKWY",
            "address_2": "SUITE F #103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921313924",
            "telephone_number": "858-699-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "MEGHAN",
        "middle_name": "ADELE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95076521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.