Individual provider Active NPI

Richard Christopher Meza II, LCSW

  • Clinical Social Worker
  • Apple Valley, CA
National Provider Identifier
1801564422
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
103443 Issued in CA
Practice address
16195 Siskiyou Rd Ste 120B
Apple Valley, CA 92307-1346
Phone
(909) 904-0231
NPI assigned
Aug 30, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 103443 CA Primary

Addresses

Primary practice location

16195 Siskiyou Rd Ste 120B
Apple Valley, CA 92307-1346

Mailing address

3455 Wall Ave
San Bernardino, CA 92404-2239
Phone (909) 904-0231

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mezarichard@rocketmail.com Health Information Exchange (HIE) Healthy Mind & Brain Center Licensed Clinical Social Worker In.

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

LicenseStateTypeSpecialty
103443CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1801564422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 WALL AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924042239",
            "telephone_number": "909-904-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16195 SISKIYOU RD STE 120B",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071346",
            "telephone_number": "909-904-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEZA",
        "first_name": "RICHARD",
        "middle_name": "CHRISTOPHER",
        "name_suffix": "II",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "103443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mezarichard@rocketmail.com",
            "affiliation": "Y",
            "endpointDescription": "email address",
            "affiliationName": "Healthy Mind & Brain Center Licensed Clinical Social Worker In.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Healthy Mind & Brain Center",
            "address_1": "16195 Siskiyou Rd Ste 120B",
            "city": "Apple Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923071346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.