Melissa Lilian Elist

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

5027 Shirley Ave
Tarzana, CA 91356-4427

Phone

(818) 388-6841

NPI assigned

Dec 15, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1053070102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5027 SHIRLEY AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564427",
            "telephone_number": "818-388-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5027 SHIRLEY AVE",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564427",
            "telephone_number": "818-388-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIST",
        "first_name": "MELISSA",
        "middle_name": "LILIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-15",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Eisenberg, MD
• Eli Medical Group Inc
• Matthew Eli, D.O.
• Samuel J Elias, M.D.
• Joseph Elisha
• Michael Elist
• Elit Home Health Care, Inc.
• Elite Gum Care Inc
• Elite Med Skilled Services
• Ellen Steinberg, Inc.

• Physician Assistant in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.