Active NPI
Deborah Marlow Mejia, MD
- Pediatrics Physician
- Camarillo, CA
National Provider Identifier
1578695938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G44259
- Practice address
- 2486 Ponderosa Dr North
Suite D211
Camarillo, CA 93010 - Phone
- (805) 484-2818
- Fax
- (805) 482-0028
- NPI assigned
- Mar 12, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G44259 | CA | Primary |
Addresses
Primary practice location
2486 Ponderosa Dr North
Suite D211
Camarillo, CA 93010
Mailing address
2486 Ponderosa Dr North
Suite D211
Camarillo, CA 93010
Phone (805) 484-2818
Other names 1
- Deborah Marlow
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G44259 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health | Past | Accepting new patients | |
| Pleasant Valley Pediatric Medical Group | Pediatrics | Past | Accepting new patients |
| Pleasant Valley Pediatric Medical Group | Pediatrics | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba St. John's Regional Medical Center
- General Acute Care Hospital
- Oxnard, CA
- NPI 1073665360
-
dba Pediatrician
- Pediatrics Physician
- Camarillo, CA
- NPI 1114570082
-
- Pediatrics Physician
- Camarillo, CA
- NPI 1942417340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578695938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2486 PONDEROSA DR NORTH",
"address_2": "SUITE D211",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "93010",
"telephone_number": "805-484-2818",
"fax_number": "805-482-0028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2486 PONDEROSA DR NORTH",
"address_2": "SUITE D211",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "93010",
"telephone_number": "805-484-2818",
"fax_number": "805-482-0028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARLOW MEJIA",
"first_name": "DEBORAH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G44259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEBORAH",
"last_name": "MARLOW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Camarillo, CA
Sources for this page
- 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.