Organization Active NPI

Maxim Healthcare

  • Licensed Vocational Nurse
  • San Diego, CA
National Provider Identifier
1992434724
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
Legal business name
MAXIM HEALTHCARE
Practice address
2401 Seaside St Apt 308
San Diego, CA 92107-1478
Phone
(619) 830-8525
NPI assigned
Jun 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Authorized official

Name
Melissa Zuyeiri MezaNPI 1619607702
Title
LVN
Phone
(619) 830-8525

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164X00000X Primary

Addresses

Primary practice location

2401 Seaside St Apt 308
San Diego, CA 92107-1478

Mailing address

3111 Camino del Rio N Ste 200
San Diego, CA 92108-5722
Phone (619) 209-3696

Other identifiers 2

IdentifierTypeStateIssuer
XXX-XX-7056OtherCAMELISSA Z MEZA
7056OtherCAN/A

National Provider Directory

National Provider Directory

Locations

3111 Camino del Rio N
Ste 200
San Diego, CA 92108

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1992434724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 CAMINO DEL RIO N STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921085722",
            "telephone_number": "619-209-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 SEASIDE ST APT 308",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921071478",
            "telephone_number": "619-830-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIM HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "MEZA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ZUYEIRI",
        "authorized_official_title_or_position": "LVN",
        "authorized_official_telephone_number": "619-830-8525"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MELISSA Z MEZA",
            "identifier": "XXX-XX-7056",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "7056",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.