Shannon Michelle Meza

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

750 N Yucca Ave
Rialto, CA 92376-4857

Phone

(909) 633-5605

NPI assigned

Oct 5, 2015

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: shannon.meza.p2@direct.mpmccorp.nextgenshare.com
• Direct secure messaging: shannon.meza.p6@direct.mpmccorp.nextgenshare.com

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1942670856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 N YUCCA AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923764857",
            "telephone_number": "909-633-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 N YUCCA AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923764857",
            "telephone_number": "909-633-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEZA",
        "first_name": "SHANNON",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-05",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Mendez
• Alondra Mendoza
• John Charles Mendoza, PH.D.
• Wanda Meyer, FNP
• Ana B Meza, NP
• Michael Chang Dental Corp
• Miguel Uribe D.D.S Inc D.B.a Santa Cruz Dental (Santa Cruz Dental Office)
• Laurenza Mijares
• Zakia Nailah Miles
• Carla Miller

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.