Individual provider Active NPI

Melissa A. Davis, NP

  • Family Nurse Practitioner
  • Riverside, CA
National Provider Identifier
1033840699
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95021220 Issued in CA
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

Updated by the provider on Feb 21, 2023

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230216001370 CA Practitioner - Nurse Practitioner 9234501404 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95021220CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mohsen Aljayeh MD Inc CurrentSince Nov 1, 2025 Accepting new patients
Providence Healthcare Partners,, Inc CurrentSince Nov 1, 2023 Accepting new patients
PRN Urgent Care, Inc. PastSince Jan 14, 2023 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

  • FHIR API: https://api.platform.athenahealth.com/24997/brand/2/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.