Organization Active NPI

Roy a. Meals, M.D., Inc.

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1710161088
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G40781 Issued in CA
Legal business name
ROY A. MEALS, M.D., INC.
Practice address
1033 Gayley Ave
104
Los Angeles, CA 90024-3417
Phone
(310) 824-1262
Fax
(310) 824-5190
NPI assigned
Dec 21, 2007
Last updated
Feb 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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

Authorized official

Name
Roy A Meals, M.D.
Title
President
Phone
(310) 824-1262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G40781 CA Primary

Addresses

Primary practice location

1033 Gayley Ave
104
Los Angeles, CA 90024-3417

Mailing address

1033 Gayley Ave
104
Los Angeles, CA 90024-3417
Phone (310) 824-1262

Other identifiers 1

IdentifierTypeStateIssuer
00G407810MedicaidCA

National Provider Directory

National Provider Directory

Locations

1033 Gayley Ave
Ste 104
Los Angeles, CA 90024
Phone (213) 206-6337

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424217600000",
    "number": "1710161088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 GAYLEY AVE",
            "address_2": "104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243417",
            "telephone_number": "310-824-1262",
            "fax_number": "310-824-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 GAYLEY AVE",
            "address_2": "104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900243417",
            "telephone_number": "310-824-1262",
            "fax_number": "310-824-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY A. MEALS, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2015-02-18",
        "status": "A",
        "authorized_official_last_name": "MEALS",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-824-1262",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G40781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G407810",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; 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.