Melinda Luqueta McLemore, CPT

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

License

00070917 Issued in CA

Practice address

40 Forest Grove Dr Apt 9
Daly City, CA 94015-1229

Phone

(415) 516-6357

NPI assigned

Jan 20, 2021

Last updated

Jan 20, 2021By the provider in NPPES

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

Other names 1

• Ms. Melinda Luqueta McLemore Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1083204317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 FOREST GROVE DR APT 9",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940151229",
            "telephone_number": "415-516-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FOREST GROVE DR APT 9",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940151229",
            "telephone_number": "415-516-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEMORE",
        "first_name": "MELINDA",
        "middle_name": "LUQUETA",
        "name_prefix": "Ms.",
        "credential": "CPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "CA",
            "license": "00070917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELINDA",
            "last_name": "MCLEMORE",
            "middle_name": "LUQUETA",
            "prefix": "MS.",
            "credential": "CPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ryann McDowell
• Robert Stephen McGarvey, O.D.
• Don Lee McIntyre, M.D
• June J McIntyre, OTD
• Kathryn Lee McKelvey, LVN
• Kim S McLennan, P.T.
• Barry A McNamara, M.D.
• Michael McNamara, M.D.
• Duane Medeiros, MSN-NP
• Tamara Medeiros

• Phlebology Physician in Daly City, CA
• Providers in Daly City, CA by specialty
• Phlebology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.