Active NPI
Melanie Alva-Medina, PA-C
- Physician Assistant
- Pomona, CA
National Provider Identifier
1083576771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA67371
- Practice address
- 2055 N Garey Ave
Pomona, CA 91767-2775 - Phone
- (909) 868-1620
- NPI assigned
- Dec 1, 2025
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA67371 | CA | Primary |
Addresses
Primary practice location
2055 N Garey Ave
Pomona, CA 91767-2775
Mailing address
2055 N Garey Ave
Pomona, CA 91767-2775
Phone (909) 868-1620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA67371 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764547200000",
"number": "1083576771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 N GAREY AVE",
"city": "POMONA",
"state": "CA",
"postal_code": "917672775",
"telephone_number": "909-868-1620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 N GAREY AVE",
"city": "POMONA",
"state": "CA",
"postal_code": "917672775",
"telephone_number": "909-868-1620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVA-MEDINA",
"first_name": "MELANIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-01",
"last_updated": "2025-12-01",
"certification_date": "2025-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA67371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.