Individual provider Active NPI

Angela Amanda Meza-Baca

  • Health & Wellness Coach
  • Monterey, CA
National Provider Identifier
1538052089
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
License
6932F5F88C Issued in CA
Practice address
700 Pacific St
Monterey, CA 93940-2815
Phone
(831) 645-1261
NPI assigned
Jun 2, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X 6932F5F88C CA Primary

Addresses

Primary practice location

700 Pacific St
Monterey, CA 93940-2815

Mailing address

555 Ocean Ave Apt 16
Monterey, CA 93940-3549
Phone (559) 741-3312

Other names 1

  • Angela Amanda Bolanos Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6932F5F88CCAMDHealth & Wellness Coach

NPI Registry JSON

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1538052089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 OCEAN AVE APT 16",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939403549",
            "telephone_number": "559-741-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PACIFIC ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939402815",
            "telephone_number": "831-645-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEZA-BACA",
        "first_name": "ANGELA",
        "middle_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "CA",
            "license": "6932F5F88C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "BOLANOS",
            "middle_name": "AMANDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.