Organization Active NPI

C.V.Mehta MD a Medical Corp.

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Hemet, CA
National Provider Identifier
1386761617
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
License
00A370440 Issued in CA
Legal business name
C.V.MEHTA MD A MEDICAL CORP.
Practice address
949 Calhoun PL
Suite F
Hemet, CA 92543-4403
Phone
(951) 652-5000
Fax
(951) 765-6688
NPI assigned
Mar 23, 2007
Last updated
Sep 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Authorized official

Name
Deni C Mehta, B.A.
Title
Office Manager
Phone
(951) 652-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X 00A370440 CA Primary

Addresses

Primary practice location

949 Calhoun PL
Suite F
Hemet, CA 92543-4403

Mailing address

949 Calhoun PL
Suite F
Hemet, CA 92543-4403
Phone (951) 652-5000

National Provider Directory

National Provider Directory

Locations

1820 Fullerton Ave
Ste 350
Corona, CA 92881
Phone (951) 256-1779

164 W Hospitality Ln
Ste 8
Sn Bernrdno, CA 92408
Phone (909) 890-0175

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1386761617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 CALHOUN PL",
            "address_2": "SUITE F",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434403",
            "telephone_number": "951-652-5000",
            "fax_number": "951-765-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 CALHOUN PL",
            "address_2": "SUITE F",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434403",
            "telephone_number": "951-652-5000",
            "fax_number": "951-765-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.V.MEHTA MD A MEDICAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "DENI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE  MANAGER",
        "authorized_official_telephone_number": "951-652-5000",
        "authorized_official_credential": "B.A."
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "CA",
            "license": "00A370440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.