Active NPI
Melody Castellon
- Medical Physician Assistant
- El Segundo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 55706
- Practice address
- 2110 E El Segundo Blvd
El Segundo, CA 90245-4548 - Phone
- (310) 784-3740
- NPI assigned
- Aug 13, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 55706 | CA | Primary |
Addresses
Primary practice location
2110 E El Segundo Blvd
El Segundo, CA 90245-4548
Mailing address
4305 Torrance Blvd Ste 106
Torrance, CA 90503-4400
Other practice location 1
4305 Torrance Blvd
Torrance, CA 90503-4409
Phone (424) 305-5220
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Torrance Health Association Inc | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients |
Locations
1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
2110 E El Segundo Blvd
El Segundo, CA 90245
Phone (310) 517-7010
855 Manhattan Beach Blvd
Ste 101
Manhattan Beach, CA 90266
Phone (310) 257-0508
514 N Prospect Ave
Fl 4
Redondo Beach, CA 90277
Phone (310) 750-3300
23326 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 257-7205
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Torrance, CA
- NPI 1083903124
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
-
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698364800000",
"number": "1033698717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4305 TORRANCE BLVD STE 106",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905034400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 E EL SEGUNDO BLVD",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902454548",
"telephone_number": "310-784-3740"
}
],
"practiceLocations": [
{
"address_1": "4305 Torrance Blvd",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905034409",
"country_code": "US",
"telephone_number": "424-305-5220",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASTELLON",
"first_name": "MELODY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-13",
"last_updated": "2023-10-27",
"certification_date": "2023-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "55706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Segundo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.