Organization Active NPI

Meridian Care Clinic

  • Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1336044395
Registry record updated Oct 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MERIDIAN CARE CLINIC
Practice address
1901 Avenue of the Stars # 248
Los Angeles, CA 90067-6001
Phone
(747) 369-8381
NPI assigned
Oct 10, 2026
Last updated
Oct 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2026

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

Authorized official

Name
Teerapat Sushewakhul
Title
Ceo
Phone
(747) 369-8381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1901 Avenue of the Stars # 248
Los Angeles, CA 90067-6001

Mailing address

1901 Avenue of the Stars # 248
Los Angeles, CA 90067-6001
Phone (747) 369-8381

National Provider Directory

National Provider Directory

Locations

1901 Avenue of the Stars
#248
Los Angeles, CA 90067
Phone (747) 369-8381

NPI Registry JSON

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

{
    "created_epoch": "1791590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791590400000",
    "number": "1336044395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 AVENUE OF THE STARS # 248",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900676001",
            "telephone_number": "747-369-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 AVENUE OF THE STARS # 248",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900676001",
            "telephone_number": "747-369-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-10",
        "last_updated": "2026-10-10",
        "certification_date": "2026-10-10",
        "status": "A",
        "authorized_official_last_name": "SUSHEWAKHUL",
        "authorized_official_first_name": "TEERAPAT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-369-8381"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2026; 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.