Active NPI
Christian Mewes, PA
- Physician Assistant
- Escondido, CA
National Provider Identifier
1285035808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085008517
- Practice address
- 913 Sonia PL
Escondido, CA 92026-3306 - Phone
- (760) 725-4866
- NPI assigned
- Sep 15, 2014
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085008517 | IL | Primary |
Addresses
Primary practice location
913 Sonia PL
Escondido, CA 92026-3306
Mailing address
913 Sonia PL
Escondido, CA 92026-3306
Phone (224) 619-5023
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085008517 | IL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663286400000",
"number": "1285035808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "913 SONIA PL",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920263306",
"telephone_number": "224-619-5023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "913 SONIA PL",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920263306",
"telephone_number": "760-725-4866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEWES",
"first_name": "CHRISTIAN",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-15",
"last_updated": "2022-09-16",
"certification_date": "2021-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085008517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.