Active NPI
Marisol Meza, C-SLPA, BS,
- Speech-Language Pathologist
- West Covina, CA
National Provider Identifier
1427802925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0531
- Practice address
- 1730 W Cameron Ave Ste 200
West Covina, CA 91790-2722 - Phone
- (626) 230-2609
- NPI assigned
- Apr 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 0531 | CA | Primary |
Addresses
Primary practice location
1730 W Cameron Ave Ste 200
West Covina, CA 91790-2722
Mailing address
1730 W Cameron Ave Ste 200
West Covina, CA 91790-2722
Phone (626) 230-2609
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0531 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712880000000",
"number": "1427802925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1730 W CAMERON AVE STE 200",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917902722",
"telephone_number": "626-230-2609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1730 W CAMERON AVE STE 200",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917902722",
"telephone_number": "626-230-2609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEZA",
"first_name": "MARISOL",
"credential": "C-SLPA, BS,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-12",
"last_updated": "2024-04-12",
"certification_date": "2024-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "0531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.