NPIMap

Individual provider Active NPI

Dena Mechoso, MD

  • Pediatrics Physician
  • Arcadia, CA
National Provider Identifier
1114974771
Registry record updated May 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A90333 Issued in CA
Practice address
301 E Huntington Dr
Suite 320
Arcadia, CA 91006-3747
Phone
(626) 447-3516
Fax
(626) 447-8546
NPI assigned
May 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A90333 CA Primary

Addresses

Primary practice location

301 E Huntington Dr
Suite 320
Arcadia, CA 91006-3747

Mailing address

133 N Altadena Dr
2ND Floor
Pasadena, CA 91107-7325
Phone (626) 397-8335

Other names 1

  • Dena Niedzwiecki Former name

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A90333CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usc Arcadia Hospital Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Huntington Medical Foundation Pediatrics Past Accepting new patients
Dignity Community Care Past Accepting new patients
CHHP Holdings II, LLC Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dmechoso419071@direct.cshs.org

Organizations & group practices 5

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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242000000000",
    "number": "1114974771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 N ALTADENA DR",
            "address_2": "2ND FLOOR",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911077325",
            "telephone_number": "626-397-8335",
            "fax_number": "626-397-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E HUNTINGTON DR",
            "address_2": "SUITE 320",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063747",
            "telephone_number": "626-447-3516",
            "fax_number": "626-447-8546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECHOSO",
        "first_name": "DENA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2009-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A90333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENA",
            "last_name": "NIEDZWIECKI",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.