Individual provider Active NPI

Jonathan Thomas Megerian, M.D., PH.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Orange, CA
National Provider Identifier
1124065891
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
G137941 Issued in CA
Practice address
170 S Main St
Orange, CA 92868-2801
Phone
(714) 288-7651
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X G137941 CA
Pediatrics Physician 208000000X G137941 CA
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X G137941 CA Primary

Addresses

Primary practice location

170 S Main St
Orange, CA 92868-2801

Mailing address

9 Wyndham St
Ladera Ranch, CA 92694-0251
Phone (617) 293-9370

Other practice location 1

9 Wyndham St
Ladera Ranch, CA 92694-0251
Phone (617) 293-9370

Other identifiers 1

IdentifierTypeStateIssuer
3140652MedicaidMA

Other names 1

  • Dr. Tom Megerian Other name

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
I20160107000858 CA Practitioner - Pediatric MedicinePractitioner - Neurology 9234113580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Neurology
Education
Northwestern University Feinberg Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Childrens Hospital of Orange CountyGroup PAC ID 6406944883, 70 clinicians

Practice addresses (Care Compare)

1201 W la Veta Ave
Orange, CA 92868-4203
Phone (888) 770-2462

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G137941CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital of Orange County Pediatrics CurrentSince Oct 13, 2018 Accepting new patients
Children'S Hospital Corporation Past Accepting new patients
Steward NSMC, Inc. Past Accepting new patients
North Shore Medical Center, Inc. Past Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
Children'S Hospital of Orange County Past Accepting new patients
NSPG Billing LLC Past Accepting new patients

Locations

455 S Main St
Orange, CA 92868
Phone (714) 289-4511

1201 W La Veta Ave
Orange, CA 92868
Phone (714) 509-8481

Dept LA 21333
Pasadena, CA 91185

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1124065891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WYNDHAM ST",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926940251",
            "telephone_number": "617-293-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 S MAIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682801",
            "telephone_number": "714-288-7651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Wyndham St",
            "address_purpose": "LOCATION",
            "city": "Ladera Ranch",
            "state": "CA",
            "postal_code": "926940251",
            "country_code": "US",
            "telephone_number": "617-293-9370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEGERIAN",
        "first_name": "JONATHAN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G137941",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G137941",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "CA",
            "license": "G137941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3140652",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TOM",
            "last_name": "MEGERIAN",
            "prefix": "DR.",
            "credential": "MD, PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.