Medexa Medical Group, Corporation

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MEDEXA MEDICAL GROUP, CORPORATION

Practice address

2204 E 4TH St Ste 106
Santa Ana, CA 92705-3868

Phone

(949) 832-1055

NPI assigned

Jan 30, 2025

Organization subpart

No

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

Authorized official

Name

Diluvan Hassan

Title

Secretary

Phone

(949) 832-1055

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cherry Antoine, NP

  • Acute Care Nurse Practitioner
  • Menifee, CA
  • NPI 1215745187

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Ashish Ashok Bhavsar, M.D.

  • Hospitalist Physician
  • Orange, CA
  • NPI 1881871754
  Medicare reassignment Care Compare group NPD
• Dhanisara Chapagain

  • Family Nurse Practitioner
  • Long Beach, CA
  • NPI 1093580508
  Medicare reassignment Care Compare group NPD
• Jervonne Lanee Johnson

  • Family Nurse Practitioner
  • Los Angeles, CA
  • NPI 1861169252
  Medicare reassignment Care Compare group NPD
• Brenda Rienru Rhima, NP

  • Acute Care Nurse Practitioner
  • Corona, CA
  • NPI 1780283168
  Medicare reassignment Care Compare group NPD
• Rachel Michelle Seeds, PA-C

  • Physician Assistant
  • Irvine, CA
  • NPI 1326475799
  Medicare reassignment Care Compare group NPD
• Neeli Megha Talluri, FNP

  • Family Nurse Practitioner
  • Santa Ana, CA
  • NPI 1598642738
  Medicare reassignment Care Compare group NPD
• Azusa Morimoto, NP

  • Family Nurse Practitioner
  • Rolling Hills Estates, CA
  • NPI 1306444880
  Medicare reassignment NPD
• Edna Yarashevich

  • Nurse Practitioner
  • Yorba Linda, CA
  • NPI 1972909968
  Medicare reassignment NPD
• Bassam R Bilal, M.D.

  • Internal Medicine Physician
  • Laguna Niguel, CA
  • NPI 1306890827
  Medicare reassignment

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1982417101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 E 4TH ST STE 106",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053868",
            "telephone_number": "949-832-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 E 4TH ST STE 106",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053868",
            "telephone_number": "949-832-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEXA MEDICAL GROUP, CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "DILUVAN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "949-832-1055"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Wesley Mecham
• Robert Wilson Meckstroth, D.D.S.
• Med Zone DME LLC
• Med Zone Pharmacy, Inc. (Med Zone Pharmacy)
• Med Zone Pharmacy, Inc. (Med Zone Pharmacy)
• Medic Air LLC (Acute Air Care Wound Care Management)
• Medical Acupuncture Associates
• Medical Auxillary Management Systems, Inc
• Medical Care for All
• Medical Clinic Management

• General Practice Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.