Diana Jeanette Mejia
Individual provider Active NPI Case Manager/Care Coordinator · Crestline, CA
NPI 1760141089 · NPPES record last updated Dec 14, 2021
Key facts
- NPI
- 1760141089
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 24028 Lake Dr.
Crestline, CA 92325-9232 - Phone
- (909) 338-3222
- NPI assigned
- Dec 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearts & Lives | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
24028 Lake Dr.
Crestline, CA 92325-9232
Mailing address
PO Box 1225
Crestline, CA 92325-1225
Phone (909) 501-5148
Other providers in Crestline, CA
- Jeffrey Lind Marshall
- Lindsey Liceth Martinez
- Charminade McCoy
- Betzaira McKelroy
- Dylan McKelroy
- Jennifer Melendez
- Louise Melendez
- Jessica L Meyle
- Cailey Anne Milton
- Michael J. Morris
All providers in Crestline, CA · Case Manager/Care Coordinator in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.