Albert Anthony Mezzanares Jr., COA

Primary specialty

Orthotic FitterTaxonomy code 225000000X

Practice address

1355 Bessie Ave
Tracy, CA 95376-3415

Phone

(209) 834-8600

Fax

(209) 834-8700

NPI assigned

Feb 21, 2020

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)

Not enrolled

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1609409275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 BESSIE AVE",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763415",
            "telephone_number": "209-834-8600",
            "fax_number": "209-834-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 BESSIE AVE",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763415",
            "telephone_number": "209-834-8600",
            "fax_number": "209-834-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEZZANARES",
        "first_name": "ALBERT",
        "middle_name": "ANTHONY",
        "name_suffix": "Jr.",
        "credential": "COA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taryan Mertens
• Ashlyn Tayler Mesa
• Meticulous Medical, Inc.
• Theresa Metzger
• Lexi Meyer
• Joseph Anthony Michael
• Sophia Michaleto
• Steven D. Millar, MD
• Faith Renee Miller
• James Robert Miller, PT, DC, ECS

• Orthotic Fitter in Tracy, CA
• Providers in Tracy, CA by specialty
• Orthotic Fitter in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.