Individual provider Active NPI

Omar Eduardo Mejia, NP

  • Family Nurse Practitioner
  • Visalia, CA
National Provider Identifier
1679097729
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95006940 Issued in CA
Practice address
400 W Mineral King Ave
Visalia, CA 93291
Phone
(559) 991-5165
NPI assigned
Jul 31, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95006940 CA Primary

Addresses

Primary practice location

400 W Mineral King Ave
Visalia, CA 93291

Mailing address

400 W Mineral King Ave
Visalia, CA 93291-6237
Phone (559) 624-6520

Other practice location 1

400 W Mineral King Ave
Visalia, CA 93291-6237
Phone (559) 991-5165

Other practice location 2

400 W Mineral King Ave
Visalia, CA 93291-6237
Phone (559) 991-5165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180830001902 CA Practitioner - Nurse Practitioner 4183974835 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

5510 W de Las Robles
Visalia, CA 93291-5345
Phone (559) 972-7771

Hospital & facility affiliations

  • Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95006940CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Visalia Medical Clinic, Inc. Current Accepting new patients
Kaweah Delta Health Care District CurrentSince Jun 26, 2018 Accepting new patients
Kaweah Delta Health Care District CurrentSince Jun 26, 2018 Accepting new patients
Kaweah Delta Health Care District Current Accepting new patients
Kaweah Delta Health Care Inc CurrentSince Sep 14, 2020 Accepting new patients
Sunmed Health and Weight Management a Professional Med Corp CurrentSince Dec 1, 2020 Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients

Locations

820 S Akers St
Ste 130
Visalia, CA 93277
Phone (516) 301-0937

325 S Willis St
Visalia, CA 93291
Phone (559) 624-4080

5510 W De las Robles
Visalia, CA 93291
Phone (559) 607-3470

5400 W Hillsdale Ave
Visalia, CA 93291
Phone (553) 733-5222

1110 S Ben Maddox Way
#B
Visalia, CA 93292
Phone (559) 624-4800

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

840 S Akers St
Visalia, CA 93277
Phone (559) 624-3700

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1679097729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W MINERAL KING AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916237",
            "telephone_number": "559-624-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MINERAL KING AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "93291",
            "telephone_number": "559-991-5165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 W Mineral King Ave",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932916237",
            "country_code": "US",
            "telephone_number": "559-991-5165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 W Mineral King Ave",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932916237",
            "country_code": "US",
            "telephone_number": "559-991-5165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEJIA",
        "first_name": "OMAR",
        "middle_name": "EDUARDO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-31",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95006940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.