Meditas Corporation

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

MEDITAS CORPORATION

Doing business as

Health Care Provider

Practice address

4068 Park Vista Dr
Pasadena, CA 91107-1322

Phone

(310) 977-5444

NPI assigned

Oct 13, 2020

Last updated

Oct 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Morteza Amini, FMG, EMBA, MIBA, MSN

Title

Ceo

Phone

(310) 977-5444

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Health Care Provider Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1457959496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4068 PARK VISTA DR",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071322",
            "telephone_number": "310-977-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4068 PARK VISTA DR",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071322",
            "telephone_number": "310-977-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDITAS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "AMINI",
        "authorized_official_first_name": "MORTEZA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-977-5444",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FMG, EMBA, MIBA, MSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA SECRETARY OF STATE",
            "identifier": "C3512161",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Pasadena",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Los Angeles",
            "address_1": "4068 Park Vista Dr",
            "city": "Pasadena",
            "state": "CA",
            "country_code": "US",
            "postal_code": "911071322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Health Care Provider",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rosa Isabel Medina, RN
• Sandra Angelica Medina
• Sara Michlelle Medina
• Yessenia Guadalupe Medina
• Angelina Marie Medinilla
• Nia Nichelle Ada Medlock
• Medquest Medical Transport
• Adriana L Medrano, PH.D.
• Efrain O Medrano Jr.
• Graciela Medrano, LVN

• Registered Nurse in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.