Mek Long Beach, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

940000065 Issued in CA

Legal business name

MEK LONG BEACH, LLC

Doing business as

Regency Oaks Care Center

Practice address

3850 E Esther St
Long Beach, CA 90804-2009

Phone

(562) 498-3368

Fax

(562) 494-1786

NPI assigned

Jun 22, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Fernan Perdraja

Title

Financial Controller

Phone

(818) 247-6200

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Regency Oaks Care Center Doing business as

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1508862798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 S GLENDALE AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053316",
            "telephone_number": "818-247-6200",
            "fax_number": "818-247-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 E ESTHER ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042009",
            "telephone_number": "562-498-3368",
            "fax_number": "562-494-1786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEK LONG BEACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "PERDRAJA",
        "authorized_official_first_name": "FERNAN",
        "authorized_official_title_or_position": "FINANCIAL CONTROLLER",
        "authorized_official_telephone_number": "818-247-6200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "940000065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05197K",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID NUMBER",
            "identifier": "05D0891347",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regency Oaks Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karol Mejia
• Kevin Mejia, RKT
• Laura Mileydi Mejia
• Ociel Mejia
• Ricardo Jonathan Mejia
• Murali Krishna Meka, M.D
• Elina Melamed, MD
• Brigitte Melchor
• Raul Melchor Jr.
• Maricruz Melena, LCSW

• Skilled Nursing Facility in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.