Organization Active NPI

H Milano Mellon MD Inc

  • Adult Medicine Physician
  • Inglewood, CA
National Provider Identifier
1003008103
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
A30748 Issued in CA
Legal business name
H MILANO MELLON MD INC
Practice address
915 Myrtle Ave
Inglewood, CA 90301-4007
Phone
(310) 673-3133
Fax
(310) 673-4277
NPI assigned
Aug 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Authorized official

Name
Dr. H Milano Mellon, MD
Title
Owner
Phone
(310) 673-3133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X A30748 CA Primary

Addresses

Primary practice location

915 Myrtle Ave
Inglewood, CA 90301-4007

Mailing address

915 Myrtle Ave
Inglewood, CA 90301-4007
Phone (310) 673-3133

Other identifiers 1

IdentifierTypeStateIssuer
A00307480MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100316001047 CA Part B Supplier - Clinic/Group Practice 2264567205 Receives reassigned benefits from 1 practitioner
Practice locations: Inglewood, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2210228H Milano Mellon MD Inc915 Myrtle Ave, Inglewood, CA 90301Certificate of waiverJan 19, 2027

National Provider Directory

National Provider Directory

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": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1003008103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 MYRTLE AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014007",
            "telephone_number": "310-673-3133",
            "fax_number": "310-673-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 MYRTLE AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014007",
            "telephone_number": "310-673-3133",
            "fax_number": "310-673-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H MILANO MELLON MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "MELLON",
        "authorized_official_first_name": "H",
        "authorized_official_middle_name": "MILANO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-673-3133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A30748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A00307480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.