Individual provider Active NPI

Meg Menchavez, BS, AS

  • Feeding, Eating & Swallowing Occupational Therapy Assistant
  • Fountain Valley, CA
National Provider Identifier
1366291106
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Feeding, Eating & Swallowing Occupational Therapy AssistantTaxonomy code 224ZF0002X
License
6656 Issued in CA
Practice address
18837 Brookhurst St Ste 109
Fountain Valley, CA 92708-7301
Phone
(714) 981-9595
NPI assigned
May 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Feeding, Eating & Swallowing Occupational Therapy Assistant 224ZF0002X 6656 CA Primary

Addresses

Primary practice location

18837 Brookhurst St Ste 109
Fountain Valley, CA 92708-7301

Mailing address

18837 Brookhurst St Ste 109
Fountain Valley, CA 92708-7301

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
Associate of Science, Bachelor of Science

State licenses

LicenseStateTypeSpecialty
6656CAMDFeeding, Eating & Swallowing Occupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1366291106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18837 BROOKHURST ST STE 109",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18837 BROOKHURST ST STE 109",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087301",
            "telephone_number": "714-981-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENCHAVEZ",
        "first_name": "MEG",
        "credential": "BS, AS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224ZF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Feeding, Eating & Swallowing",
            "state": "CA",
            "license": "6656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.