Individual provider Active NPI

Stephen Vincent Lee Meeneghan, N.D., L.AC.

  • Naturopath
  • Sherman Oaks, CA
National Provider Identifier
1285988212
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
633 Issued in CA
Practice address
4515 Sherman Oaks Ave
Sherman Oaks, CA 91403-3820
Phone
(760) 932-0849
NPI assigned
Oct 29, 2012
Last updated
Dec 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 15817 CA
Naturopath 175F00000X 633 CA Primary

Addresses

Primary practice location

4515 Sherman Oaks Ave
Sherman Oaks, CA 91403-3820

Mailing address

2628 Corralitas Dr
Los Angeles, CA 90039-4005
Phone (503) 724-1043

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
633CAMDNaturopath
15817CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Integrative Health, Naturopathic PC Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1285988212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2628 CORRALITAS DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900394005",
            "telephone_number": "503-724-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 SHERMAN OAKS AVE",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033820",
            "telephone_number": "760-932-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEENEGHAN",
        "first_name": "STEPHEN",
        "middle_name": "VINCENT LEE",
        "name_prefix": "Dr.",
        "credential": "N.D., L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-29",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "15817",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.