NPIMap

Organization Active NPI

Ajay G. Meka M.D. Inc.

  • Internal Medicine Physician
  • Santa Ana, CA
National Provider Identifier
1932214657
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A39761 Issued in CA
Legal business name
AJAY G. MEKA M.D. INC.
Practice address
201 S Broadway
Santa Ana, CA 92701-5633
Phone
(714) 571-4941
NPI assigned
Aug 21, 2006
Last updated
Sep 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Authorized official

Name
Dr. Ajay G. Meka, M.D.NPI 1063527976
Title
President
Phone
(714) 979-5734

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A37201 CA
Internal Medicine Physician 207R00000X A39761 CA Primary
Internal Medicine Physician 207R00000X A50217 CA

Addresses

Primary practice location

201 S Broadway
Santa Ana, CA 92701-5633

Mailing address

2740 S Bristol St
Suite 208
Santa Ana, CA 92704-6209
Phone (714) 979-5734

Other practice location 1

2740 S Bristol St
Suite 208
Santa Ana, CA 92704-6209
Phone (714) 979-5734

Other names 1

  • AMISTAD MEDICAL CLINIC INC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040311001043 CA Part B Supplier - Clinic/Group Practice 0244129963 Receives reassigned benefits from 21 practitioners
Practice locations: Santa Ana, CA; San Bernardino, CA; Hawthorne, CA; Riverside, CA; Orange, CA; National City, CA; Los Angeles, CA; Long Beach, CA…

National Provider Directory

National Provider Directory

Locations

450 Fourth Ave
Ste 301
Chula Vista, CA 91910
Phone (619) 271-7824

3325 Tyler Ave
El Monte, CA 91731
Phone (626) 416-5822

12901 Harbor Blvd
Ste A4
Garden Grove, CA 92840
Phone (714) 979-5734

12923 Inglewood Ave
Ste 1
Hawthorne, CA 90250
Phone (310) 675-0395

17822 Beach Blvd
Ste 215
Huntington Beach, CA 92647
Phone (714) 842-8889

1066 Atlantic Ave
Ste B
Long Beach, CA 90813
Phone (562) 528-8447

2865 Atlantic Ave
Ste 108
Long Beach, CA 90806
Phone (562) 426-0301

305 E 8th St
National City, CA 91950
Phone (619) 477-0084

1042 E Chapman Ave
Orange, CA 92866
Phone (714) 602-9224

399 E Highland Ave
Ste 222
Sn Bernrdno, CA 92404
Phone (909) 838-7061

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567641600000",
    "number": "1932214657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 S BRISTOL ST",
            "address_2": "SUITE 208",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046209",
            "telephone_number": "714-979-5734",
            "fax_number": "714-979-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S BROADWAY",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015633",
            "telephone_number": "714-571-4941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2740 S Bristol St",
            "address_2": "SUITE 208",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927046209",
            "country_code": "US",
            "telephone_number": "714-979-5734",
            "fax_number": "714-979-7157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AJAY G. MEKA M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2019-09-05",
        "status": "A",
        "authorized_official_last_name": "MEKA",
        "authorized_official_first_name": "AJAY",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-979-5734",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A37201",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A39761",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A50217",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMISTAD MEDICAL CLINIC INC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "AMISTAD MEDICAL CLINIC INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.