AMISTAD MEDICAL CLINIC INC
NPI 1932214657
Internal Medicine in Santa Ana, CA

Active since August 21, 2006CLIA 05D2136045 · Waiver
201 S BROADWAY, SANTA ANA, CA 92701(714) 571-4941 Get Directions Write a Review

NPPES record last updated: September 5, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Amistad Medical Clinic Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMISTAD MEDICAL CLINIC INC (NPI 1932214657) is a healthcare organization registered as an internal medicine in Santa Ana, California and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through August 30, 2027, maintains a secondary practice location in Santa Ana, and lists Ajay G. Meka, President, as its authorized official.

NPPES Registry Identity

NPI1932214657
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameAJAY G. MEKA M.D. INC.
Location Address201 S BROADWAYSanta Ana, CA 92701-5633
Mailing Address2740 S Bristol St, Suite 208Santa Ana, CA 92704-6209 · (714) 979-5734 · Fax (714) 979-7157
Organization SubpartNo
Authorized OfficialAjay G. MekaPresident · (714) 979-5734
Enumeration DateAugust 21, 2006
Last NPPES UpdateSeptember 5, 2019
✔ NPI 1932214657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in CA · A39761✔ Licensed in CA · A50217
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X · License A37201 (CA)
201 S BROADWAY, Santa Ana, CA 92701

Other Names 1

Other NameAmistad Medical Clinic Inc

Secondary Practice Location 1

Location 12740 S Bristol St, SUITE 208Santa Ana, CA 92704-6209 · Phone (714) 979-5734 · Fax (714) 979-7157

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amistad Medical Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Amistad Medical Clinic Inc, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Internal Medicine7
Family Practice3
Nurse Practitioner2

Clinicians, nearest first (12)

Nurse Practitioner
NPI 1275911075
2740 S BRISTOL ST #208
Santa Ana, CA 92704
(714) 979-5734
✔ PECOS✔ Accepts Medicare2.6 mi
Internal Medicine
NPI 1063527976
2740 S BRISTOL ST SUITE 208
Santa Ana, CA 92704
(714) 979-5734
✔ PECOS2.7 mi
Internal Medicine
NPI 1013338722
2740 S BRISTOL ST STE 208
Santa Ana, CA 92704
(714) 979-5734
✔ PECOS✔ Accepts Medicare2.7 mi
Family Practice
NPI 1659397792
1042 E CHAPMAN AVE STE 100
Orange, CA 92866
(147) 444-0447
✔ PECOS✔ Accepts Medicare3.2 mi
Family Practice
NPI 1467452367
3650 E. SOUTH ST. STE 303
Lakewood, CA 90712
(310) 537-1337
✔ PECOS✔ Accepts Medicare18 mi
Internal Medicine
NPI 1770718967
12923 INGLEWOOD AVE STE 1
Hawthorne, CA 90250
(310) 675-0395
✔ PECOS✔ Accepts Medicare31 mi
Nurse Practitioner
NPI 1639095243
12923 INGLEWOOD AVE
Hawthorne, CA 90250
(310) 675-0395
✔ PECOS31 mi
Internal Medicine
NPI 1588686042
949 CALHOUN PL SUITE D
Hemet, CA 92543
(951) 652-8000
✔ PECOS✔ Accepts Medicare52 mi
Internal Medicine
NPI 1538583901
13777 AIR EXPRESSWAY BLVD
Victorville, CA 92394
(760) 530-5700
✔ PECOS✔ Accepts Medicare64 mi
Family Practice
NPI 1639338601
305 E 8TH ST
National City, CA 91950
(619) 477-0084
✔ PECOS✔ Accepts Medicare86 mi
Internal Medicine
NPI 1669857488
450 4TH AVE STE 301
Chula Vista, CA 91910
(619) 271-7824
✔ PECOS✔ Accepts Medicare89 mi
Internal Medicine
NPI 1134423387
460 N UNIVERSITY DR
Pembroke Pines, FL 33024
(954) 437-4004
✔ PECOS✔ Accepts Medicare2,307 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2136045

Ajay G Meka MD Inc · Santa Ana, CA
Active · expires Aug 30, 2027
CLIA Number05D2136045
Laboratory TypePhysician Office
Certificate Effective DateAugust 31, 2025
Certificate Expiration DateAugust 30, 2027
Laboratory DirectorAjay Meka
Laboratory Phone(714) 852-3787
Laboratory LocationAjay G Meka MD Inc201 S Broadway, Santa Ana, CA 92701
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ajay G. Meka M.D. Inc.'s NPI number?

The NPI number for Ajay G. Meka M.D. Inc. is 1932214657. It was assigned to this organization in the NPPES registry on August 21, 2006. The provider is also known as Amistad Medical Clinic Inc.

Where is Ajay G. Meka M.D. Inc. located?

Ajay G. Meka M.D. Inc. is located at 201 S Broadway, Santa Ana, CA 92701. The listed phone number is (714) 571-4941.

What is Ajay G. Meka M.D. Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ajay G. Meka M.D. Inc. enrolled in Medicare?

Yes. Ajay G. Meka M.D. Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ajay G. Meka M.D. Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 3 Medicare specialties reassign their Medicare billing to Ajay G. Meka M.D. Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (7), Family Practice (3) and Nurse Practitioner (2). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ajay G. Meka M.D. Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2136045) is associated with this NPI, valid through August 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ajay G. Meka M.D. Inc. was last updated on September 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.