Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mauricio Mejia, PA

Individual provider Physician Assistant · NPI 1689100802

Mauricio Mejia, PA is a Physician Assistant in Modesto, California. Licensed in California and Florida. Registered with an NPI since 2017.

Licensed in
CA, FL
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1114 6th St
Modesto, CA 95354-2203
Phone: (209) 722-4842
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA65281 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA 9109507 (FL)

Record details

NPI number1689100802
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 8, 2017
Last updated in NPPESOctober 18, 2024
Certification dateOctober 18, 2024

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