Oscar Manual Meza-Valle

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

CG60889560 Issued in WA

Practice address

12812 101St Avenue CT E
Puyallup, WA 98373-9101

Phone

(253) 864-4770

Fax

(253) 864-4771

NPI assigned

Nov 21, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sea Mar Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Puyallup, WA
  • NPI 1043407182
  NPD (past)

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

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1164991972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12812 101ST AVENUE CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983739101",
            "telephone_number": "253-864-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12812 101ST AVENUE CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983739101",
            "telephone_number": "253-864-4770",
            "fax_number": "253-864-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEZA-VALLE",
        "first_name": "OSCAR",
        "middle_name": "MANUAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-21",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WA",
            "license": "CG60889560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Metzger, M.A.
• Jessica M Metzger
• Mercades Amanda Meuli, DO
• Alanna Meyer
• Anne Marie Meyer, RN
• Michael Church (Church Chiropractic Clinic)
• Michael G. Blackburn, M.D. , Inc. P.S.
• Michael Philip Podrasky (Valley Orthopedic)
• Julius Michaelson Jr., M.D.
• Terrel J Michel, M.D.

• Case Manager/Care Coordinator in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Case Manager/Care Coordinator in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; 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.