Active NPI
Edgar Meza
- Addiction (Substance Use Disorder) Counselor
- Spring Valley, CA
National Provider Identifier
1104558626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 14333
- Practice address
- 10707 Jamacha Blvd
Spring Valley, CA 91978-1800 - Phone
- (619) 249-3167
- NPI assigned
- Jun 24, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 14333 | CA | Primary |
Addresses
Primary practice location
10707 Jamacha Blvd
Spring Valley, CA 91978-1800
Mailing address
PO Box 5711
San Diego, CA 92165-5711
Phone (619) 249-3167
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688342400000",
"number": "1104558626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5711",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921655711",
"telephone_number": "619-249-3167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10707 JAMACHA BLVD",
"city": "SPRING VALLEY",
"state": "CA",
"postal_code": "919781800",
"telephone_number": "619-249-3167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEZA",
"first_name": "EDGAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-24",
"last_updated": "2023-07-03",
"certification_date": "2023-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "14333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.