NPIMap

Individual provider Active NPI

Ajay G Meka, M.D.

  • Internal Medicine Physician
  • Santa Ana, CA
National Provider Identifier
1063527976
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A39761 Issued in CA
Practice address
2740 S Bristol St
Suite 208
Santa Ana, CA 92704-6209
Phone
(714) 979-5734
Fax
(714) 979-7157
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A39761 CA Primary

Addresses

Primary practice location

2740 S Bristol St
Suite 208
Santa Ana, CA 92704-6209

Mailing address

2740 S Bristol St
Suite 208
Santa Ana, CA 92704-6209
Phone (714) 979-5734

Other identifiers 1

IdentifierTypeStateIssuer
00A397610MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040309001436 CA Practitioner - Internal MedicinePractitioner - General Practice 2062300163 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: General Practice
Education
Other, 1976
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Ajay G Meka MD IncGroup PAC ID 0244129963, 13 clinicians
Universal Multispecialty Medical Group IncGroup PAC ID 5890038616, 3 clinicians

Practice addresses (Care Compare)

1510 E 7TH St
Long Beach, CA 90813-5002
Phone (562) 590-9800

1650 S Euclid Ave
Ontario, CA 91762-5824
Phone (909) 391-4138

201 S Broadway
Santa Ana, CA 92701-5633

2740 S Bristol St
Santa Ana, CA 92704-6233

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions14
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39761CAMDPharmacist
A39761CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Multi Specialty Medical Group Inc Internal Medicine CurrentSince Dec 20, 2018 Accepting new patients
Omni Family Health Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients
Anaheim Global Medical Center, Inc Past Accepting new patients
South Coast Global Medical Center, Inc Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
University of California Irvine Past Accepting new patients
Pih Health Downey Hospital Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Amistad Multi Specialty Medical Group Inc. PastSince May 22, 2019 Accepting new patients

Locations

1650 S Euclid Ave
Ontario, CA 91762
Phone (909) 391-4138

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ampm Hospice IncSherman Oaks, CA, CCN B21712 Hospice 5% Or Greater Direct Ownership Interest (4%) May 1, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 15

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

View all 15

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310428800000",
    "number": "1063527976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 S BRISTOL ST",
            "address_2": "SUITE 208",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046209",
            "telephone_number": "714-979-5734",
            "fax_number": "714-979-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 S BRISTOL ST",
            "address_2": "SUITE 208",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046209",
            "telephone_number": "714-979-5734",
            "fax_number": "714-979-7157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEKA",
        "first_name": "AJAY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2011-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A39761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A397610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.