Individual provider Active NPI

Sasha Mejia

  • Nurse Practitioner
  • Torrance, CA
National Provider Identifier
1457742330
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP95002102 Issued in CA
Practice address
23430 Hawthorne Blvd
BLDG 3 Suite 325
Torrance, CA 90505-4720
Phone
(310) 705-8323
Fax
(310) 683-6321
NPI assigned
Feb 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 730822 CA
Nurse Practitioner 363L00000X NP95002102 CA Primary

Addresses

Primary practice location

23430 Hawthorne Blvd
BLDG 3 Suite 325
Torrance, CA 90505-4720

Mailing address

23430 Hawthorne Blvd
Ste 325
Torrance, CA 90505-4718
Phone (310) 705-8323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150806010491 CA Practitioner - Nurse Practitioner 7810201621 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
730822CAMDRegistered Nurse
NP95002102CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine and Nephrology Med. Group Inc. CurrentSince Dec 1, 2019 Accepting new patients
Torrance Health Association Inc CurrentSince Oct 1, 2015 Accepting new patients

Locations

514 N Prospect Ave
Fl 4
Redondo Beach, CA 90277
Phone (310) 750-3300

3291 Skypark Dr
Torrance, CA 90505
Phone (213) 325-4517

2900 Lomita Blvd
Torrance, CA 90505
Phone (310) 257-7260

23326 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 257-7205

3701 Skypark Dr
Ste 100
Torrance, CA 90505
Phone (310) 378-2234

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1457742330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23430 HAWTHORNE BLVD",
            "address_2": "STE 325",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054718",
            "telephone_number": "310-705-8323",
            "fax_number": "310-683-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23430 HAWTHORNE BLVD",
            "address_2": "BLDG 3 SUITE 325",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054720",
            "telephone_number": "310-705-8323",
            "fax_number": "310-683-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJIA",
        "first_name": "SASHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-12",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "730822",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95002102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.