Active NPI
Vanessa Marcela Mejares, RDH
- Dental Hygienist
- San Diego, CA
National Provider Identifier
1801353180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 30209
- Practice address
- 7011 Linda Vista Rd
San Diego, CA 92111-6307 - Phone
- (858) 810-8729
- Fax
- (858) 987-5823
- NPI assigned
- Feb 22, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 77758 | CA | |
| Dental Hygienist | 124Q00000X | 30209 | CA | Primary |
Addresses
Primary practice location
7011 Linda Vista Rd
San Diego, CA 92111-6307
Mailing address
7011 Linda Vista Rd
San Diego, CA 92111-6307
Phone (858) 810-8729
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30209 | CA | MD | Dental Hygienist |
| 77758 | CA | MD | Dental Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550793600000",
"number": "1801353180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7011 LINDA VISTA RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921116307",
"telephone_number": "858-810-8729",
"fax_number": "858-987-5823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7011 LINDA VISTA RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921116307",
"telephone_number": "858-810-8729",
"fax_number": "858-987-5823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEJARES",
"first_name": "VANESSA",
"middle_name": "MARCELA",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-22",
"last_updated": "2019-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "CA",
"license": "77758",
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "30209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.