Individual provider Active NPI

Julio Meza Leon

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1417428160
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
118330 Issued in CA
Practice address
155 N Occidental Blvd
Los Angeles, CA 90026-4641
Phone
(213) 381-2931
NPI assigned
Dec 6, 2018
Reactivated
Nov 14, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 118330 CA Primary

Addresses

Primary practice location

155 N Occidental Blvd
Los Angeles, CA 90026-4641

Mailing address

155 N Occidental Blvd
Los Angeles, CA 90026-4641
Phone (213) 381-2931

Other practice location 1

18700 Oxnard St
Tarzana, CA 91356-1413
Phone (818) 996-1051 ext. 3184

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

State licenses

LicenseStateTypeSpecialty
118330CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1417428160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N OCCIDENTAL BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900264641",
            "telephone_number": "213-381-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N OCCIDENTAL BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900264641",
            "telephone_number": "213-381-2931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18700 Oxnard St",
            "address_purpose": "LOCATION",
            "city": "Tarzana",
            "state": "CA",
            "postal_code": "913561413",
            "country_code": "US",
            "telephone_number": "818-996-1051 x3184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEZA LEON",
        "first_name": "JULIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-06",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "deactivation_date": "2023-11-07",
        "reactivation_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "118330",
            "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 Sep 19, 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.