Miguel Angel Espin Mejia, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G42563 Issued in CA

Practice address

15211 Vanowen St Ste 206
Van Nuys, CA 91405-3620

Phone

(181) 878-7847

Fax

(181) 878-7867

NPI assigned

Oct 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• La Familia Medical Clinic Inc.

  • Family Medicine Physician
  • Van Nuys, CA
  • NPI 1912310566
  Medicare reassignment NPD
• Familia Sana Medical Group Inc

  • Family Medicine Physician
  • Van Nuys, CA
  • NPI 1669783122
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1508955170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 GOLDEN SHR STE 201",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024243",
            "telephone_number": "186-620-9107",
            "fax_number": "156-226-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15211 VANOWEN ST STE 206",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053620",
            "telephone_number": "181-878-7847",
            "fax_number": "181-878-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJIA",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL ESPIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G42563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00425630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emely Johanna Mejia Espinoza
• Jonathan Mejia-Romero
• Albert Mejia
• Helen C Mejia
• Mario Mejia
• Sara Mejia
• Eden Mekonen
• Maritza Melara
• Adam Melendez
• Kelyn Melendez

• Family Medicine Physician in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.