Active NPI
Melissa A. Davis, NP
- Family Nurse Practitioner
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95021220
- Practice address
- 191 E Alessandro Blvd # 9a
Riverside, CA 92508-5095 - Phone
- (951) 780-3300
- NPI assigned
- Jun 23, 2022
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95021220 | CA | Primary |
Addresses
Primary practice location
191 E Alessandro Blvd # 9a
Riverside, CA 92508-5095
Mailing address
191 E Alessandro Blvd # 9a
Riverside, CA 92508-5095
Phone (774) 283-3066
Other practice location 1
41715 Winchester Rd Ste 101
Temecula, CA 92590-4853
Phone (951) 308-4451
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95021220 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mohsen Aljayeh MD Inc | Current | Accepting new patients | |
| Providence Healthcare Partners,, Inc | Current | Accepting new patients | |
| PRN Urgent Care, Inc. | Past | Accepting new patients |
Locations
12223 Highland Ave
Ste 106526
Rancho Cucamonga, CA 91739
Phone (714) 676-3880
12223 Highland Ave
#106526
Rch Cucamonga, CA 91739
3890 11th St
Ste 108
Riverside, CA 92501
Phone (800) 669-7716
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211
Interoperability endpoints
- https://api.platform.athenahealth.com/24997/brand/2/csg/1/fhir/r4
- melissa.davis.1@24997.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 and National Provider Directory roles.
-
- Infectious Disease Physician
- Riverside, CA
- NPI 1790206498
-
- Hospitalist Physician
- Riverside, CA
- NPI 1699157701
-
- Urgent Care Clinic/Center
- Riverside, CA
- NPI 1366850059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676937600000",
"number": "1033840699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 E ALESSANDRO BLVD # 9A",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925085095",
"telephone_number": "774-283-3066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 E ALESSANDRO BLVD # 9A",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925085095",
"telephone_number": "951-780-3300"
}
],
"practiceLocations": [
{
"address_1": "41715 Winchester Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Temecula",
"state": "CA",
"postal_code": "925904853",
"country_code": "US",
"telephone_number": "951-308-4451",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "MELISSA",
"middle_name": "A.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-23",
"last_updated": "2023-02-21",
"certification_date": "2023-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95021220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.