Individual provider Active NPI

Scott Alexander Mezei, FNP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1730723388
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95021451 Issued in CA
Practice address
4455 Thousand Oaks Dr
San Antonio, TX 78233-6801
Phone
(726) 268-7360
Fax
(877) 370-4369
NPI assigned
Nov 6, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 140818 TX
Family Nurse Practitioner 363LF0000X NP95021451 CA Primary

Addresses

Primary practice location

4455 Thousand Oaks Dr
San Antonio, TX 78233-6801

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (561) 570-5172

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SMezei@conviva.eclinicaldirectplus.com

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
I20221212001584 CA Practitioner - Nurse Practitioner 2668854910 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95021451CAMDFamily Nurse Practitioner
140818TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
WT Health of California LLC CurrentSince May 26, 2025 Accepting new patients
Inland Physicians Service Inc CurrentSince Jun 27, 2023 Accepting new patients
IHS Medical Group PC CurrentSince Jan 26, 2023 Accepting new patients
Housecall Doctors Medical Group Inc CurrentSince Jun 21, 2023 Accepting new patients
Wound Doctors CurrentSince Aug 19, 2023 Accepting new patients

Locations

575 E Hardy St
Ste 312
Inglewood, CA 90301
Phone (310) 590-2333

3800 Kilroy Airport Way
Ste 270
Long Beach, CA 90806
Phone (949) 366-1053

10850 Wilshire Blvd
Ste 1130
Los Angeles, CA 90024
Phone (310) 209-0425

11103 Venice Blvd
Los Angeles, CA 90034
Phone (310) 734-8526

9089 Base Line Rd
Ste 100
Rch Cucamonga, CA 91730
Phone (909) 483-0505

25044 Peachland Ave
Ste 110
Santa Clarita, CA 91321

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: smezei@conviva.eclinicaldirectplus.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1730723388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "561-570-5172",
            "fax_number": "786-472-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 THOUSAND OAKS DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782336801",
            "telephone_number": "726-268-7360",
            "fax_number": "877-370-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEZEI",
        "first_name": "SCOTT",
        "middle_name": "ALEXANDER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-06",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "140818",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95021451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SMezei@conviva.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4455 Thousand Oaks Dr",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782336801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.