Gary Lee Meyer

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA 17549 Issued in CA

Practice address

4561 Dickey Dr
La Mesa, CA 91941-5735

Phone

(619) 328-3025

Fax

(619) 312-0528

NPI assigned

Jul 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• MSK-US, Inc.

  • Diagnostic Ultrasound Physician
  • La Mesa, CA
  • NPI 1033404306
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558387886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12695 CAMINO MIRA DEL MAR",
            "address_2": "116",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302582",
            "telephone_number": "858-437-4445",
            "fax_number": "858-350-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4561 DICKEY DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919415735",
            "telephone_number": "619-328-3025",
            "fax_number": "619-312-0528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "GARY",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA 17549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Alzina Merica-Jones, MSN CNM
• Kathryn Susan Merritt, M.F.T. INTERN
• Les Allen Mershon, PA-C
• Ethan John Messer, MA
• Nechelle Fabiana Metayer, NP-C
• Joanne Meyer, PA-C
• Michael Andrisani MD Inc
• Michael E Musicant MD
• Michael H. Fenn, M.D., Inc.
• Michael H. Michalski, M.D., a Medical Corporation

• Surgical Physician Assistant in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.