Individual provider Active NPI

Magdiel Meme

  • Psychiatric/Mental Health Nurse Practitioner
  • Temecula, CA
National Provider Identifier
1245124122
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95034604 Issued in CA
Practice address
32605 Temecula Pkwy Ste 308
Temecula, CA 92592-6840
Phone
(951) 406-0466
NPI assigned
Jun 5, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95034604 CA Primary

Addresses

Primary practice location

32605 Temecula Pkwy Ste 308
Temecula, CA 92592-6840

Mailing address

32605 Temecula Pkwy Ste 308
Temecula, CA 92592-6840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250919003704 CA Practitioner - Nurse Practitioner 4385148428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sokyahealth Medical Group PCGroup PAC ID 8628463015, 180 clinicians

Practice addresses (Care Compare)

32605 Temecula Pkwy
Suite 305
Temecula, CA 92592-6840
Phone (858) 427-5060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95034604CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sokyahealth Medical Group PC CurrentSince Aug 25, 2025 Accepting new patients
Headlight Health Medical Group PLLC CurrentSince Mar 28, 2026 Accepting new patients

Locations

32605 Temecula Pkwy
Ste 305
Temecula, CA 92592
Phone (858) 427-5060

Interoperability endpoints

  • Direct secure messaging: magdiel.meme.p1@direct.sokya.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1245124122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32605 TEMECULA PKWY STE 308",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32605 TEMECULA PKWY STE 308",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926840",
            "telephone_number": "951-406-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEME",
        "first_name": "MAGDIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95034604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.