Mek Escondido, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

080000019 Issued in CA

Legal business name

MEK ESCONDIDO, LLC

Doing business as

Escondido Care Center

Practice address

421 E Mission Ave
Escondido, CA 92025-1909

Phone

(760) 747-0430

Fax

(760) 747-0340

NPI assigned

Jun 22, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Fernan Pedraja

Title

Financial Controller

Phone

(818) 247-6200

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Escondido Care Center Doing business as

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1588660765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 S GLENDALE AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912053316",
            "telephone_number": "818-247-6200",
            "fax_number": "818-247-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 E MISSION AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920251909",
            "telephone_number": "760-747-0430",
            "fax_number": "760-747-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEK ESCONDIDO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "PEDRAJA",
        "authorized_official_first_name": "FERNAN",
        "authorized_official_title_or_position": "FINANCIAL CONTROLLER",
        "authorized_official_telephone_number": "818-247-6200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "080000019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID NUMBER",
            "identifier": "05D0566816",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT06040K",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Escondido Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Liza Megally
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• Sanaz Mehryar, PHARMD
• Noopur Mehta, PA-C
• Vanessa Melchionne
• Leilani Jocelyn Melendrez Magallanes
• Kendra Janniece Meler
• Christina Mena
• Daisy Veronica Mendez

• Skilled Nursing Facility in Escondido, CA
• Providers in Escondido, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.