Individual provider Active NPI

Methusa Javinar Mejia, M.D.

  • Pediatrics Physician
  • Rancho Mirage, CA
National Provider Identifier
1669483590
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A740580 Issued in CA
Practice address
35800 Bob Hope Dr Ste 220
Rancho Mirage, CA 92270-1739
Phone
(760) 464-0561
Fax
(760) 464-0562
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A740580 CA Primary

Addresses

Primary practice location

35800 Bob Hope Dr Ste 220
Rancho Mirage, CA 92270-1739

Mailing address

35800 Bob Hope Dr Ste 220
Rancho Mirage, CA 92270-1739
Phone (760) 464-0561

Other practice location 1

73950 Alessandro Dr Ste 5
Palm Desert, CA 92260-3637
Phone (760) 341-9906

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

LicenseStateTypeSpecialty
A740580CAMDPh.D. Medical Genetics

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Desert Pediatrics Inc Past Accepting new patients
Eisenhower Medical Center Past Accepting new patients
JFK Memorial Hospital, Inc. Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1669483590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35800 BOB HOPE DR STE 220",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701739",
            "telephone_number": "760-464-0561",
            "fax_number": "760-464-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35800 BOB HOPE DR STE 220",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701739",
            "telephone_number": "760-464-0561",
            "fax_number": "760-464-0562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "73950 Alessandro Dr Ste 5",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922603637",
            "country_code": "US",
            "telephone_number": "760-341-9906",
            "fax_number": "760-341-9916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEJIA",
        "first_name": "METHUSA",
        "middle_name": "JAVINAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A740580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.