Nicholas Hideo Tasaka-Mejia, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

305947 Issued in CA

Practice address

4482 Barranca Pkwy Ste 195
Irvine, CA 92604-4706

Phone

(949) 679-3337

NPI assigned

Dec 23, 2024

Sex

Male

Sole proprietor

No

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

Practice roles

Locations

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.

• Southland Physical Therapy, Inc.

  • Physical Therapist
  • Irvine, CA
  • NPI 1710150172
  NPD

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

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1699583633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S VIA EL MODENA UNIT 1",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928694931",
            "telephone_number": "626-824-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4482 BARRANCA PKWY STE 195",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044706",
            "telephone_number": "949-679-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASAKA-MEJIA",
        "first_name": "NICHOLAS",
        "middle_name": "HIDEO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "305947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremiah Tao, M.D.
• Ryan Tapang
• Bea Jan Marie Gelera Tapawan, CCC-SLP
• Carla Francesca Tapia, PA-C
• Jessica Taranto
• David Lee Tassey, DDS
• Evelyn Lam Tat
• Laurie Erin Tate, M.ED.
• Gassia Tatikian
• Maral Tavafi

• Physical Therapist in Irvine, CA
• Providers in Irvine, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.