Individual provider Active NPI

Maria Corazon A Meris, M.D.

  • Specialist
  • Anaheim, CA
National Provider Identifier
1073628657
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A56490 Issued in CA
Practice address
3400 W Ball Rd
Suite 102
Anaheim, CA 92804-3738
Phone
(714) 816-0088
Fax
(714) 816-0005
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A56490 CA Primary

Addresses

Primary practice location

3400 W Ball Rd
Suite 102
Anaheim, CA 92804-3738

Mailing address

3400 W Ball Rd
Suite 102
Anaheim, CA 92804-3738
Phone (714) 816-0088

Other identifiers 2

IdentifierTypeStateIssuer
A56490OtherCAMEDICAL LICENSE NUMBER
00A564900MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051223000129 CA Practitioner - Family Practice 1456373059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Irvine, California College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3400 W Ball Rd
Suite 102
Anaheim, CA 92804-3735
Phone (714) 816-0088

3400 W Ball Rd
Suite 102
Anaheim, CA 92804-3738

3400 W Ball Rd
Suite 102
Anaheim, CA 92804-3797

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A56490CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Maria Corazon Meris MD Inc CurrentSince May 24, 2017 Accepting new patients
Anaheim Memorial Medical Center PastSince Aug 11, 2017 Accepting new patients

Locations

3400 W Ball Rd
Ste 102
Anaheim, CA 92804
Phone (714) 816-0088

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1073628657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 W BALL RD",
            "address_2": "SUITE 102",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043738",
            "telephone_number": "714-816-0088",
            "fax_number": "714-816-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W BALL RD",
            "address_2": "SUITE 102",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043738",
            "telephone_number": "714-816-0088",
            "fax_number": "714-816-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERIS",
        "first_name": "MARIA CORAZON",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A56490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "A56490",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A564900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.