Active NPI
Javier A Mejia, DDS
- Dentist
- Seal Beach, CA
National Provider Identifier
1669512695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 49779
- Practice address
- 3591 Primrose Circle
Seal Beach, CA 90740 - Phone
- (310) 499-3111
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 49779 | CA | Primary |
Addresses
Primary practice location
3591 Primrose Circle
Seal Beach, CA 90740
Mailing address
3591 Primrose Circle
Seal Beach, CA 90740-3128
Phone (310) 499-3111
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49779 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472774400000",
"number": "1669512695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3591 PRIMROSE CIRCLE",
"city": "SEAL BEACH",
"state": "CA",
"postal_code": "907403128",
"telephone_number": "310-499-3111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3591 PRIMROSE CIRCLE",
"city": "SEAL BEACH",
"state": "CA",
"postal_code": "90740",
"telephone_number": "310-499-3111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEJIA",
"first_name": "JAVIER",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2016-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "49779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seal Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.