Individual provider Active NPI

Joanna Meshreky, DO

  • Family Medicine Physician
  • Norco, CA
National Provider Identifier
1871544163
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02A9452 Issued in CA
Practice address
1901 Town and Country Dr
Ste. 104
Norco, CA 92860-3611
Phone
(951) 737-8141
NPI assigned
May 12, 2006
Last updated
Sep 28, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02A9452 CA Primary

Addresses

Primary practice location

1901 Town and Country Dr
Ste. 104
Norco, CA 92860-3611

Mailing address

1901 Town and Country Dr
Ste. 104
Norco, CA 92860-3611
Phone (951) 737-8141

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060622000315 CA Practitioner - Family Practice 0446262018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Citrus Valley Medical Associates IncGroup PAC ID 0446329932, 14 clinicians

Practice addresses (Care Compare)

1901 Town and Country Dr
Suite 104
Norco, CA 92860-3611
Phone (951) 737-8141

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
02A9452CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Citrus Valley Medical Associates, Inc. Family Medicine CurrentSince May 1, 2008 Accepting new patients
Uhs Corona Inc Past Accepting new patients

Locations

1901 Town and Country Dr
Ste 104
Norco, CA 92860
Phone (951) 737-8141

940 N Haven Ave
Ste 18025
Ontario, CA 91764

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: joanna.meshreky.p1@direct.cvma.nextgenshare.com

Organizations & group practices 2

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1871544163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 TOWN AND COUNTRY DR",
            "address_2": "STE. 104",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928603611",
            "telephone_number": "951-737-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 TOWN AND COUNTRY DR",
            "address_2": "STE. 104",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928603611",
            "telephone_number": "951-737-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESHREKY",
        "first_name": "JOANNA",
        "name_prefix": "Ms.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "02A9452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norco, CA

Sources for this page

Verify at the official NPI Registry.