Individual provider Active NPI

Meshi Amzalag

  • Women's Health Nurse Practitioner
  • Huntington Park, CA
National Provider Identifier
1104537315
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
NP95023313 Issued in CA
Practice address
7301 State St
Huntington Park, CA 90255-5823
Phone
(323) 581-5120
NPI assigned
Dec 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LW0102X NP95023313 CA Primary

Addresses

Primary practice location

7301 State St
Huntington Park, CA 90255-5823

Mailing address

150 N Carson Rd
Beverly Hills, CA 90211-2111
Phone (310) 279-0425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95023313CAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Care Community Health Center, Inc Single Specialty CurrentSince Mar 6, 2023 Accepting new patients
Complete Care Community Health Center, Inc CurrentSince Mar 6, 2023 Accepting new patients

Locations

7301 State St
Huntington Park, CA 90255
Phone (323) 277-4779

2928 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 266-6700

3000 S Robertson Blvd
Ste 280
Los Angeles, CA 90034

Interoperability endpoints

  • Direct secure messaging: meshi.amzalag.p1@direct.ccchcenter.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1104537315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N CARSON RD",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112111",
            "telephone_number": "310-279-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 STATE ST",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555823",
            "telephone_number": "323-581-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMZALAG",
        "first_name": "MESHI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "NP95023313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Park, CA

Sources for this page

Verify at the official NPI Registry.