Individual provider Active NPI

Meron G Tekelearegay, FNP

  • Family Nurse Practitioner
  • Carson, CA
National Provider Identifier
1740007624
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F08240055 Issued in CA
Practice address
1000 E Victoria St
Carson, CA 90747-0001
Phone
(310) 243-3696
NPI assigned
Sep 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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 F08240055 CA Primary

Addresses

Primary practice location

1000 E Victoria St
Carson, CA 90747-0001

Mailing address

1000 E Victoria St
Carson, CA 90747-0001
Phone (310) 243-3693

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
I20241003003803 CA Practitioner - Nurse Practitioner 5395276109 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F08240055CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Onclick Healthcare Incorporated CurrentSince Mar 26, 2026 Accepting new patients
Osher Resources Inc CurrentSince Sep 23, 2024 Accepting new patients

Locations

6350 Laurel Canyon Blvd
Ste 205
North Hollywood, CA 91606
Phone (818) 325-2090

Organizations & group practices 2

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": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1740007624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E VICTORIA ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907470001",
            "telephone_number": "310-243-3693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E VICTORIA ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907470001",
            "telephone_number": "310-243-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEKELEAREGAY",
        "first_name": "MERON",
        "middle_name": "G",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "F08240055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

Verify at the official NPI Registry.