Active NPI
Janelle Meza, NP
- Acute Care Nurse Practitioner
- Covina, CA
National Provider Identifier
1578896734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 15452
- Practice address
- 515 S San Jose Ave
Covina, CA 91723-3145 - Phone
- (626) 695-1522
- NPI assigned
- Sep 4, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 15452 | CA | Primary |
Addresses
Primary practice location
515 S San Jose Ave
Covina, CA 91723-3145
Mailing address
515 S San Jose Ave
Covina, CA 91723-3145
Phone (626) 695-1522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130803000180 | CA | Order and Referring Only - Nurse Practitioner | 9931341948 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15452 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252022400000",
"number": "1578896734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 S SAN JOSE AVE",
"city": "COVINA",
"state": "CA",
"postal_code": "917233145",
"telephone_number": "626-695-1522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 S SAN JOSE AVE",
"city": "COVINA",
"state": "CA",
"postal_code": "917233145",
"telephone_number": "626-695-1522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEZA",
"first_name": "JANELLE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-04",
"last_updated": "2009-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "15452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.