Guadalupe Ana Mejia

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS100192 Issued in CA

Practice address

12420 Day St Ste B4
Moreno Valley, CA 92553-7536

Phone

(951) 656-6538

NPI assigned

May 12, 2016

Last updated

May 12, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1699121210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9108 32ND AVE APT 310",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113692211",
            "telephone_number": "347-430-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12420 DAY ST STE B4",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925537536",
            "telephone_number": "951-656-6538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJIA",
        "first_name": "GUADALUPE",
        "middle_name": "ANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-12",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS100192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Cecelia Grace Medley, P.T.
• Roger Napoleon Medrano
• Amy Jean Meeter, M.S., CF-SLP
• Anjali Mehta, MD
• Morena Mejia Melendez, ASW
• Marissa Monique Mejia
• Sandra Mejia
• Susan Mejia
• Mena Mekail
• Natalia Melendez

• General Practice Dentistry in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.

Verify at the official NPI Registry.