Active NPI
Karla Mejia
- Physical Therapy Assistant
- Pomona, CA
National Provider Identifier
1154877041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- AT 10912
- Practice address
- 1902 Royalty Dr Ste 170
Pomona, CA 91767-3030 - Phone
- (909) 620-9700
- Fax
- (909) 620-9800
- NPI assigned
- Aug 30, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | AT 10912 | CA | Primary |
Addresses
Primary practice location
1902 Royalty Dr Ste 170
Pomona, CA 91767-3030
Mailing address
101 W Mission Blvd # 110-397
Pomona, CA 91766-1711
Phone (909) 620-9700
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT 10912 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Able Physical Therapy Corp | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Pomona, CA
- NPI 1902079452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472515200000",
"number": "1154877041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W MISSION BLVD # 110-397",
"city": "POMONA",
"state": "CA",
"postal_code": "917661711",
"telephone_number": "909-620-9700",
"fax_number": "909-620-9800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1902 ROYALTY DR STE 170",
"city": "POMONA",
"state": "CA",
"postal_code": "917673030",
"telephone_number": "909-620-9700",
"fax_number": "909-620-9800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEJIA",
"first_name": "KARLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-30",
"last_updated": "2016-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "AT 10912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.