Melissa Sue Brown, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA18450 Issued in CA

Practice address

15503 Ventura Blvd
Suite 370
Encino, CA 91436-3140

Phone

(818) 789-3811

Fax

(818) 501-4554

NPI assigned

Feb 12, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Melissa Sue Montes Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Southern California Keck School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Honest Dermatology Medical GroupGroup PAC ID 7719128784, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Honest Dermatology Medical Group

  dba Honest Dermatology Skin and Laser Center

  • Dermatology Physician
  • Encino, CA
  • NPI 1881935823
  Medicare reassignment Care Compare group
• Synergize Nursing Inc

  • Infusion Therapy Clinic/Center
  • Encino, CA
  • NPI 1356803035
  NPD

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1013249275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15840 VENTURA BLVD 101",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364737",
            "telephone_number": "818-789-3811",
            "fax_number": "818-906-4169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15503 VENTURA BLVD",
            "address_2": "SUITE 370",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914363140",
            "telephone_number": "818-789-3811",
            "fax_number": "818-501-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MELISSA",
        "middle_name": "SUE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-12",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA18450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "MONTES",
            "middle_name": "SUE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alison Brown, PH.D
• Antwaun Lamott Brown I
• Ebony Brown
• Felecia Brown
• Karen Elizabeth Brown, MS, CCC-SLP
• Murray Allen Brown, M.D.
• Rodger Keith Brown, M.D.
• William Brown Jr.
• Joan R. Browner, PH.D.
• Bruce B Becker MD a Medical Corporation

• Physician Assistant in Encino, CA
• Providers in Encino, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.