NPIMap

Individual provider Active NPI

Carlos Roberto Meza, M.D.

  • Nephrology Physician
  • Monterey Park, CA
National Provider Identifier
1063592269
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A52121 Issued in CA
Practice address
1900 S Atlantic Blvd
Suite 3
Monterey Park, CA 91754-6340
Phone
(323) 888-1366
Fax
(323) 888-0600
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A52121 CA Primary

Addresses

Primary practice location

1900 S Atlantic Blvd
Suite 3
Monterey Park, CA 91754-6340

Mailing address

1900 S Atlantic Blvd
Suite 3
Monterey Park, CA 91754-6340
Phone (323) 888-1366

Other identifiers 1

IdentifierTypeStateIssuer
00A521210MedicaidCA

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
I20101110000950 CA Practitioner - NephrologyPractitioner - Internal Medicine 0244220572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1900 S Atlantic Blvd
Suite 3
Monterey Park, CA 91754-6340
Phone (323) 888-1366

Hospital & facility affiliations

  • East Los Angeles Dialysis Center Dialysis facility, East Los Angeles, CA, CCN 552574
  • S N E Home Health Care Services Home health agency, Whittier, CA, CCN 553119
  • 1 Heart Hospice and Palliative Care, Inc Hospice, Torrance, CA, CCN A01634
  • Monterey Park Hospital Hospital, Monterey Park, CA, CCN 050736
  • Adventist Health White Memorial Hospital, Los Angeles, CA, CCN 050103
  • East Los Angeles Doctors Hospital Hospital, Los Angeles, CA, CCN 050641

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A52121CAMDNephrology Physician
52121CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
East la Dialysis Center Current Accepting new patients
Carlos R Meza MD Inc Nephrology CurrentSince Jul 1, 1993 Accepting new patients
1 Heart Hospice and Palliative Care, Inc. PastSince Feb 3, 2020 Accepting new patients
Ahmc Monterey Park Hospital LP Past Accepting new patients
Northeast Hospital Corporation Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients

Locations

1900 S Atlantic Blvd
Ste 3
Monterey Park, CA 91754
Phone (323) 728-5157

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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.

Hospital & facility affiliations 8

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1063592269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S ATLANTIC BLVD",
            "address_2": "SUITE 3",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917546340",
            "telephone_number": "323-888-1366",
            "fax_number": "323-888-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S ATLANTIC BLVD",
            "address_2": "SUITE 3",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917546340",
            "telephone_number": "323-888-1366",
            "fax_number": "323-888-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEZA",
        "first_name": "CARLOS",
        "middle_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A52121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A521210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.