Mek Norwood Pines LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

MEK NORWOOD PINES LLC

Doing business as

Norwood Pines Alzheimers Care Center

Practice address

500 Jessie Avenue
Sacramento, CA 95838-2609

Phone

(916) 922-7177

Fax

(916) 922-5782

NPI assigned

Jun 22, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Fernan Pedraja

Title

Financial Controller

Phone

(818) 247-6200

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Norwood Pines Alzheimers Care Center Doing business as

Locations

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1801892096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 S. GLENDALE AVENUE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91205",
            "telephone_number": "818-247-6200",
            "fax_number": "818-247-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 JESSIE AVENUE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958382609",
            "telephone_number": "916-922-7177",
            "fax_number": "916-922-5782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEK NORWOOD PINES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "PEDRAJA",
        "authorized_official_first_name": "FERNAN",
        "authorized_official_title_or_position": "FINANCIAL CONTROLLER",
        "authorized_official_telephone_number": "818-247-6200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "CA",
            "license": "030000010",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR06045K",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID NUMBER",
            "identifier": "05D0988752",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Norwood Pines Alzheimers Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelsea Mejia
• Siana Marie Mejia
• Alyssa R Mejorado, ASW, MSW
• Hector Mejorado
• Mek Arden, LLC (Arden Rehabilitation and Healthcare Center)
• Hasan Mekki
• Roxann Elizabeth Mekus, RN
• Eman M Meky
• David Raymond Melanson
• Kelly Marie Melanson

• Alzheimer Center (Dementia Center) in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Alzheimer Center (Dementia Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.