Active NPI
Glenn Mejia
- Occupational Therapist
- San Diego, CA
National Provider Identifier
1851767271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5820
- Practice address
- 4100 Normal St
San Diego, CA 92103-2653 - Phone
- (619) 725-8000
- NPI assigned
- Aug 19, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5820 | CA | Primary |
Addresses
Primary practice location
4100 Normal St
San Diego, CA 92103-2653
Mailing address
838 Genoa Way
San Marcos, CA 92078-1076
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439942400000",
"number": "1851767271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "838 GENOA WAY",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920781076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 NORMAL ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032653",
"telephone_number": "619-725-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEJIA",
"first_name": "GLENN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-19",
"last_updated": "2015-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "5820",
"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 Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.