Individual provider Active NPI

Melody Meloserdoff, RD

  • Registered Dietitian
  • Arcadia, CA
National Provider Identifier
1003524000
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86076665 Issued in CA
Practice address
300 W Huntington Dr
Arcadia, CA 91007-3402
Phone
(626) 898-8000
NPI assigned
Nov 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133V00000X 86076665 CA Primary

Addresses

Primary practice location

300 W Huntington Dr
Arcadia, CA 91007-3402

Mailing address

50 W Lemon Ave Ste 8
Monrovia, CA 91016-5112
Phone (626) 268-1353

Other practice location 1

50 W Lemon Ave Ste 8
Monrovia, CA 91016-5112
Phone (626) 268-1353

Other identifiers 1

IdentifierTypeStateIssuer
86076665OtherCACOMMISSION ON DIETETIC REGISTRATION

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL melody.meloserdoff@med.usc.edu Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240311001692 CA Practitioner - Registered Dietitian Or Nutrition Professional 6608212808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthy Mission Dietitian IncGroup PAC ID 3577992528, 3 clinicians

Practice addresses (Care Compare)

50 W Lemon Ave
Suite 8
Monrovia, CA 91016-5112
Phone (626) 268-1353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86076665CAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Mission Dietitian, Inc. Dietitian, Registered CurrentSince Feb 26, 2024 Accepting new patients

Locations

440 E Huntington Dr
Ste 300
Arcadia, CA 91006
Phone (626) 230-4094

50 W Lemon Ave
Ste 8
Monrovia, CA 91016
Phone (626) 268-1353

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1003524000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W LEMON AVE STE 8",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910165112",
            "telephone_number": "626-268-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W HUNTINGTON DR",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910073402",
            "telephone_number": "626-898-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 W Lemon Ave Ste 8",
            "address_purpose": "LOCATION",
            "city": "Monrovia",
            "state": "CA",
            "postal_code": "910165112",
            "country_code": "US",
            "telephone_number": "626-268-1353",
            "fax_number": "626-231-0616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELOSERDOFF",
        "first_name": "MELODY",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-08",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86076665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION",
            "identifier": "86076665",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "melody.meloserdoff@med.usc.edu",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "300 W Huntington Dr",
            "city": "Arcadia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "910073402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.