Individual provider Active NPI

Laura Patricia Minero Meza, PHD, LP

  • Psychologist
  • Los Angeles, CA
National Provider Identifier
1891213070
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
33586 Issued in CA
Practice address
625 W 104TH PL
Los Angeles, CA 90044-4413
Phone
(323) 609-3212
NPI assigned
Sep 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 33586 CA Primary

Addresses

Primary practice location

625 W 104TH PL
Los Angeles, CA 90044-4413

Mailing address

21213 Hawthorne Blvd Ste B3212
Torrance, CA 90503-5595
Phone (559) 331-5466

Other names 1

  • Dr. Laura P Minero Professional name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
33586CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alchemy Psychology Colectivo Inc. Current Accepting new patients
Journey Mental Health Center, Inc. PastSince Jul 1, 1991 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1891213070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21213 HAWTHORNE BLVD STE B3212",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035595",
            "telephone_number": "559-331-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W 104TH PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900444413",
            "telephone_number": "323-609-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINERO MEZA",
        "first_name": "LAURA",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "PHD, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "33586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "MINERO",
            "middle_name": "P",
            "prefix": "DR.",
            "credential": "PHD, LP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.