Michael a Mellenthin MD PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G58951 Issued in CA

Legal business name

MICHAEL A MELLENTHIN MD PC

Practice address

3900 Sandhill Rd
Woodside, CA 94062-1231

Phone

(650) 996-4813

Fax

(650) 618-1752

NPI assigned

Feb 7, 2016

Last updated

Feb 7, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Alfred Mellenthin Jr., M.D.

Title

Ceo

Phone

(650) 996-4813

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1454803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454803200000",
    "number": "1023476967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 SANDHILL RD",
            "city": "WOODSIDE",
            "state": "CA",
            "postal_code": "940621231",
            "telephone_number": "650-996-4813",
            "fax_number": "650-618-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 SANDHILL RD",
            "city": "WOODSIDE",
            "state": "CA",
            "postal_code": "940621231",
            "telephone_number": "650-996-4813",
            "fax_number": "650-618-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A MELLENTHIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-07",
        "last_updated": "2016-02-07",
        "status": "A",
        "authorized_official_last_name": "MELLENTHIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALFRED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-996-4813",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G58951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara J Knight, PHD
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• Justine Labatch
• Richard Allen Lenon Jr., M.D.
• Vandana Mathur, M.D.
• Mary Lynn Moran, M.D.
• Maia Alexandra Mosse
• Courtney Lockwood Murphy, PH.D.
• National Center for Equine Facilitated Therapy
• Navvisa, Inc.

• Anesthesiology Physician in Woodside, CA
• Providers in Woodside, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.