Meridian Manor

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MERIDIAN MANOR

Practice address

1325 Meridian Ave
South Pasadena, CA 91030-3723

Phone

(626) 488-8878

Fax

(323) 222-5960

NPI assigned

Aug 26, 2026

Organization subpart

No

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

Authorized official

Name

Mrs. Ewa Nyczak

Title

Administrator

Phone

(626) 488-8878

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1787702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1205743903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 MERIDIAN AVE",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303723",
            "telephone_number": "626-488-8878",
            "fax_number": "323-222-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 MERIDIAN AVE",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303723",
            "telephone_number": "626-488-8878",
            "fax_number": "323-222-5960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "779 S Pasadena Ave",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911053019",
            "country_code": "US",
            "telephone_number": "626-488-8878",
            "fax_number": "323-222-5960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERIDIAN MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-26",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "NYCZAK",
        "authorized_official_first_name": "EWA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-488-8878",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noe Mendoza
• Miriam Berenice Meneses
• Neil Jetrho Sobrevinas Mercado, BSN, RN
• Zoe Meredith
• Elizabeth Merenda
• Violet Hovsepian Mesrkhani, PH.D.
• Marnessa Lavonne Metters
• Anthony Lewis Michael, LMFT 135958
• Jennifer Marie Miele, LCSW
• Tomomi Mikawa, LMFT

• Assisted Living Facility in South Pasadena, CA
• Providers in South Pasadena, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.