Active NPI
Carlos R Meza MD Inc
- Nephrology Physician
- Monterey Park, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- A52121
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carlos Meza, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0943879 | Carlos R Meza, MD Inc | Certificate of waiver | Apr 5, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Nephrology Physician
- Monterey Park, CA
- NPI 1063592269
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.