Organization Active NPI

Carlos R Meza MD Inc

  • Nephrology Physician
  • Monterey Park, CA
National Provider Identifier
1528402005
Registry record updated Apr 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A52121 Issued in CA
Legal business name
CARLOS R MEZA MD INC
Practice address
1900 S Atlantic Blvd
Suite 3
Monterey Park, CA 91754-6340
Phone
(323) 888-1366
Fax
(323) 888-0600
NPI assigned
Apr 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2013

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

Authorized official

Name
Carlos Meza, MDNPI 1063592269
Title
President
Phone
(323) 888-1366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X A52121 CA Primary

Addresses

Primary practice location

1900 S Atlantic Blvd
Suite 3
Monterey Park, CA 91754-6340

Mailing address

PO Box 92710
City of Industry, CA 91715-2710
Phone (323) 888-1366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140305000833 CA Part B Supplier - Clinic/Group Practice 4880824218 Receives reassigned benefits from 1 practitioner
Practice locations: Monterey Park, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0943879Carlos R Meza, MD Inc1900 S Atlantic Blvd Ste 3, Monterey Park, CA 91754Certificate of waiverApr 5, 2028

National Provider Directory

National Provider Directory

Locations

1900 S Atlantic Blvd
Monterey Park, CA 91754
Phone (626) 458-8020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366934400000",
    "number": "1528402005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92710",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917152710",
            "telephone_number": "323-888-1366",
            "fax_number": "323-888-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S ATLANTIC BLVD",
            "address_2": "SUITE 3",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917546340",
            "telephone_number": "323-888-1366",
            "fax_number": "323-888-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS R MEZA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-26",
        "last_updated": "2013-04-26",
        "status": "A",
        "authorized_official_last_name": "MEZA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-888-1366",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A52121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.