Active NPI
Josseline J Melgar
- Student in an Organized Health Care Education/Training Program
- Fullerton, CA
National Provider Identifier
1093340945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 713 W Commonwealth Ave
Suite C
Fullerton, CA 92832-1612 - Phone
- (714) 879-4274
- NPI assigned
- Mar 10, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
713 W Commonwealth Ave
Suite C
Fullerton, CA 92832-1612
Mailing address
12021 Wilmington Ave
Los Angeles, CA 90059-3019
Phone (310) 668-4272
Other practice location 1
10000 Imperial Hwy Apt B307
Downey, CA 90242-3272
Phone (213) 298-5443
Other practice location 2
713 W Commonwealth Ave Ste C
Fullerton, CA 92832-1612
Phone (714) 879-4274
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1093340945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12021 WILMINGTON AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900593019",
"telephone_number": "310-668-4272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 W COMMONWEALTH AVE",
"address_2": "SUITE C",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928321612",
"telephone_number": "714-879-4274"
}
],
"practiceLocations": [
{
"address_1": "10000 Imperial Hwy Apt B307",
"address_purpose": "LOCATION",
"city": "Downey",
"state": "CA",
"postal_code": "902423272",
"country_code": "US",
"telephone_number": "213-298-5443",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "713 W Commonwealth Ave Ste C",
"address_purpose": "LOCATION",
"city": "Fullerton",
"state": "CA",
"postal_code": "928321612",
"country_code": "US",
"telephone_number": "714-879-4274",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MELGAR",
"first_name": "JOSSELINE",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-10",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.