Elizabeth Memoracion

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

License

041373048 Issued in CA

Practice address

2140 Ceres Ave
Chico, CA 95926-1403

Phone

(530) 893-8078

Fax

(530) 899-1395

NPI assigned

Oct 19, 2020

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1225637622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 COIT TOWER WAY",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959289440",
            "telephone_number": "530-520-0808",
            "fax_number": "530-899-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 CERES AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261403",
            "telephone_number": "530-893-8078",
            "fax_number": "530-899-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEMORACION",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nursing Home Administrator",
            "state": "CA",
            "license": "041373048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Sue Meigs, R.PH.
• Pat M Mello, PHARMACIST
• Robert L Mellon, M.D.
• Stephanie Nicole Mellor-Gravatt
• Scott Duane Mellum, M.D.
• Sandra Mena
• Christen Leanna Mendez
• Jessica Mendez
• Quinn Mendez
• Nancy Benitez Mendieta

• Nursing Home Administrator in Chico, CA
• Providers in Chico, CA by specialty
• Nursing Home Administrator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.