Active NPI
John Flavian Mevi, MD
- Family Medicine Physician
- Los Banos, CA
National Provider Identifier
1902971013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A19847
- Practice address
- 400 West I Street
Suite a
Los Banos, CA 93635 - Phone
- (209) 826-3200
- Fax
- (209) 826-1354
- NPI assigned
- Nov 22, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A19847 | CA | Primary |
Addresses
Primary practice location
400 West I Street
Suite a
Los Banos, CA 93635
Mailing address
400 West I Street
Suite a
Los Banos, CA 93635
Phone (209) 826-3200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A198470 | Medicaid | CA |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A19847 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1902971013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 WEST I STREET",
"address_2": "SUITE A",
"city": "LOS BANOS",
"state": "CA",
"postal_code": "93635",
"telephone_number": "209-826-3200",
"fax_number": "209-826-1354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 WEST I STREET",
"address_2": "SUITE A",
"city": "LOS BANOS",
"state": "CA",
"postal_code": "93635",
"telephone_number": "209-826-3200",
"fax_number": "209-826-1354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEVI",
"first_name": "JOHN",
"middle_name": "FLAVIAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A19847",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A198470",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Banos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.