Individual provider Active NPI

Yeu Melissa Lo, NP

  • Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1083293641
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95018176 Issued in CA
Practice address
3790 N 1St St
Fresno, CA 93726-5601
Phone
(559) 890-6111
Fax
(559) 892-0327
NPI assigned
Apr 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 623462 CA
Nurse Practitioner 363L00000X 95018176 CA Primary

Addresses

Primary practice location

3790 N 1St St
Fresno, CA 93726-5601

Mailing address

3790 N 1St St
Fresno, CA 93726-5601
Phone (559) 890-6111

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
I20220301001195 CA Practitioner - Nurse Practitioner 3173917564 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
623462CAMDRegistered Nurse
95018176CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Fresno Health Organization, Inc. CurrentSince Feb 28, 2025 Accepting new patients
4Kids Urgent Care Medical Center, Inc CurrentSince Jan 8, 2025 Accepting new patients
Wellness Hydration Center a Medical Corporation CurrentSince Jan 2, 2023 Accepting new patients
California Dreams Medical Corporation PC CurrentSince Nov 11, 2023 Accepting new patients
Greater Fresno Health Organization, Inc. CurrentSince Feb 28, 2025 Accepting new patients
Community Health Partners CurrentSince Feb 1, 2024 Accepting new patients
Affiliated Physician Practice Inc PastSince Nov 11, 2023 Accepting new patients

Locations

3790 N 1st St
Fresno, CA 93726
Phone (559) 226-3066

3656 W Shaw Ave
Fresno, CA 93711
Phone (559) 388-8430

3727 N 1st St
Ste 106
Fresno, CA 93726
Phone (559) 457-6900

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550

4929 E Kings Canyon Rd
Fresno, CA 93727
Phone (559) 255-6476

7257 N Fresno St
Fresno, CA 93720
Phone (559) 447-4050

805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687

Organizations & group practices 7

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": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1083293641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3790 N 1ST ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937265601",
            "telephone_number": "559-890-6111",
            "fax_number": "559-892-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3790 N 1ST ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937265601",
            "telephone_number": "559-890-6111",
            "fax_number": "559-892-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LO",
        "first_name": "YEU",
        "middle_name": "MELISSA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-02",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "623462",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95018176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.