George Jesus Meza, L.C.S.W., PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY28943 Issued in CA

Practice address

14623 Hawthorne Blvd Ste 406
Lawndale, CA 90260-1595

Phone

(310) 978-9495

Fax

(310) 978-9495

NPI assigned

Mar 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Shields for Families

  • Community/Behavioral Health Agency
  • Los Angeles, CA
  • NPI 1659506145

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1659403285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902600097",
            "telephone_number": "310-978-9495",
            "fax_number": "310-978-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14623 HAWTHORNE BLVD STE 406",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902601595",
            "telephone_number": "310-978-9495",
            "fax_number": "310-978-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEZA",
        "first_name": "GEORGE",
        "middle_name": "JESUS",
        "name_prefix": "Dr.",
        "credential": "L.C.S.W., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY28943",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS16305",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Mendez
• Ramona Maria Merchan
• Sonya Lannire Merideth, R.D.H.
• Isaac Merino, D.C.
• Clifford J. Merlo, MD
• Microlink Investments, Inc.
• Mike a.Ogunkah
• Milagros J. Macaraig DDS Inc
• Lenny Miller
• Miracle Mobility Inc

• Clinical Psychologist in Lawndale, CA
• Providers in Lawndale, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.