Individual provider Active NPI

Melanie Mars, N.P.

  • Family Nurse Practitioner
  • Orange, CA
National Provider Identifier
1023405537
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95001681 Issued in CA
Practice address
333 City Blvd W
Suite 640
Orange, CA 92868-2903
Phone
(714) 456-5239
NPI assigned
Apr 22, 2015
Last updated
Apr 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95001681 CA Primary

Addresses

Primary practice location

333 City Blvd W
Suite 640
Orange, CA 92868-2903

Mailing address

30826 Belle Maison
Laguna Niguel, CA 92677-5520
Phone (949) 637-3742

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150608003139 CA Practitioner - Nurse Practitioner 2163743774 Reassigns benefits to 2 organizations
Practice locations: Lake Forest, CA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portola Medical Services PCGroup PAC ID 4789970773, 22 clinicians

Practice addresses (Care Compare)

29100 Portola Pkwy
Suite B
Lake Forest, CA 92630-8713
Phone (844) 254-6382

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of CurrentSince May 1, 2015 Accepting new patients
Portola Medical Services PC CurrentSince Jul 1, 2016 Accepting new patients
Cypress Urgent Care, Inc PastSince Oct 1, 2009 Accepting new patients

Locations

6876 Katella Ave
Cypress, CA 90630
Phone (714) 903-8900

9025 Warner Ave
Ste B
Fountain Valley, CA 92708
Phone (844) 254-6382

25461 Rancho Niguel Rd
Laguna Niguel, CA 92677
Phone (844) 254-6382

29100 Portola Pkwy
Ste B
Lake Forest, CA 92630
Phone (844) 254-6382

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

1511 E Katella Ave
Orange, CA 92867
Phone (844) 254-6382

20635 Yorba Linda Blvd
Yorba Linda, CA 92886
Phone (714) 581-9497

Interoperability endpoints

  • Direct secure messaging: melanie.mars.1@15000.direct.athenahealth.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1023405537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30826 BELLE MAISON",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775520",
            "telephone_number": "949-637-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CITY BLVD W",
            "address_2": "SUITE 640",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682903",
            "telephone_number": "714-456-5239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARS",
        "first_name": "MELANIE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95001681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.