Jonathan Paul Mesina, RN

Individual provider Active NPI Registered Nurse · March Arb, CA

NPI 1780166900 · NPPES record last updated Sep 4, 2018

Key facts

NPI
1780166900
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
745153 (CA)
Practice address
5770 Riverside Dr., BLDG 601
752 Medical Squadron
March Arb, CA 92518
Phone
(951) 655-5167
NPI assigned
Sep 4, 2018
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
745153CAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 745153 CA Yes

Addresses

Primary practice location

5770 Riverside Dr., BLDG 601
752 Medical Squadron
March Arb, CA 92518

Mailing address

835 Pendio
Irvine, CA 92620-1747
Phone (951) 750-4419

Other providers in March Arb, CA

All providers in March Arb, CA · Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.