Individual provider Active NPI

Mariana Mayora Mejia, D.D.S.

  • General Practice Dentistry
  • La Mesa, CA
National Provider Identifier
1427326412
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
58125 Issued in CA
Practice address
8341 La Mesa Blvd
La Mesa, CA 91942-0217
Phone
(619) 464-4242
Fax
(619) 464-6587
NPI assigned
Dec 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 58125 CA Primary

Addresses

Primary practice location

8341 La Mesa Blvd
La Mesa, CA 91942-0217

Mailing address

3525 Del Mar Heights Rd # 288
San Diego, CA 92130-2199
Phone (858) 518-9102

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

NPI Registry JSON

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1427326412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 DEL MAR HEIGHTS RD # 288",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302199",
            "telephone_number": "858-518-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8341 LA MESA BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919420217",
            "telephone_number": "619-464-4242",
            "fax_number": "619-464-6587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYORA MEJIA",
        "first_name": "MARIANA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.