Mena Mesdaq, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

22646 Issued in CA

Practice address

6515 La Jolla Blvd
La Jolla, CA 92037-6066

Phone

(858) 454-7157

NPI assigned

Nov 20, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1376887976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 ROSEBAY DR",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243323",
            "telephone_number": "760-807-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 LA JOLLA BLVD",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920376066",
            "telephone_number": "858-454-7157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESDAQ",
        "first_name": "MENA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "22646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margot Elaine Mercer, PHARMD
• Jessica Merchant, DNP
• Merlin L Hamer MD Inc
• Madisyn Merritt
• Paula Michelle Mesarwi, MD
• Amit Meshi, M.D.
• Akram Mesleh Shayeb, M.D.
• Kevin Messey, ATC
• Syrisa Metzger
• Janelle N. Meyer, P.T.

• Medical Physician Assistant in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.