Active NPI
Juan Alberto Mejia, PTA
- Physical Therapy Assistant
- Laguna Niguel, CA
National Provider Identifier
1194441683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 52122
- Practice address
- 24050 Aliso Creek Rd Ste 1C
Laguna Niguel, CA 92677-3937 - Phone
- (949) 317-4454
- Fax
- (949) 688-2134
- NPI assigned
- Oct 17, 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 52122 | CA | Primary |
Addresses
Primary practice location
24050 Aliso Creek Rd Ste 1C
Laguna Niguel, CA 92677-3937
Mailing address
24050 Aliso Creek Rd Ste 1C
Laguna Niguel, CA 92677-3937
Phone (949) 317-4454
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 |
|---|---|---|---|
| 52122 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665964800000",
"number": "1194441683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24050 ALISO CREEK RD STE 1C",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926773937",
"telephone_number": "949-317-4454",
"fax_number": "949-688-2134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24050 ALISO CREEK RD STE 1C",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926773937",
"telephone_number": "949-317-4454",
"fax_number": "949-688-2134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEJIA",
"first_name": "JUAN",
"middle_name": "ALBERTO",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-17",
"last_updated": "2022-10-17",
"certification_date": "2022-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "52122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laguna Niguel, CA
- MD Dental Corp
- MD Medical Diagnostics, a Medical Corporation
- John P Meehan III, M.D.
- Yasna Mehrabani, PA-C
- Vinay Mehta, M.D.
- Kerry Melachouris, RN PMHNP STUDENT
- Melissa Przeklasa Auth MD Professional Corporation
- Melissa Przeklasa Auth MD Professional Corporation
- Randell Wayne Mello, RPH
- Montana Kaye Mellott, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.