Marbely Nayely Mejia
Individual provider Active NPI Specialist · Bay Point, CA
NPI 1376490664 · NPPES record last updated Mar 14, 2026
Key facts
- NPI
- 1376490664
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- L10109 (CA)
- Practice address
- 47 Portview Dr
Bay Point, CA 94565-1333 - Phone
- (341) 465-0374
- NPI assigned
- Mar 14, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L10109 | CA | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | L10109 | CA | Yes |
Addresses
Primary practice location
47 Portview Dr
Bay Point, CA 94565-1333
Mailing address
47 Portview Dr
Bay Point, CA 94565-1333
Phone (341) 465-0374
Other providers in Bay Point, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.