David Meacham, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA14897 Issued in CA

Practice address

818 W Alondra Blvd
Compton, CA 90220-3500

Phone

(310) 537-1337

Fax

(310) 764-1011

NPI assigned

Jan 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clinica del Socorro Medical Group,Inc.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1215263827
  Medicare reassignment
• Talbert Medical Group, P.C.

  dba Talbert Medical Group

  • Internal Medicine Physician
  • Fountain Valley, CA
  • NPI 1528069176
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1861548786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 W ALONDRA BLVD",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902203500",
            "telephone_number": "310-537-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 W ALONDRA BLVD",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902203500",
            "telephone_number": "310-537-1337",
            "fax_number": "310-764-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEACHAM",
        "first_name": "DAVID",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA14897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Adeleke (Adex Medical Supply)
• Minnie McClain
• Debby McClendon, NURSE PRACTITIONER
• Elaine McClendon
• Michael T McRae, PHD
• Fabiola Medeiros, M.D.
• Stacey Medina Pelayo
• Medreach Inc.
• Teresa Mei, OD
• Daysi Mejia

• Physician Assistant in Compton, CA
• Providers in Compton, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.