Individual provider Active NPI

Claudia Melgar

  • Rehabilitation Practitioner
  • Los Angeles, CA
National Provider Identifier
1114445848
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Practice address
1540 Alcazar St # St133
Los Angeles, CA 90089-0080
Phone
(323) 442-2149
NPI assigned
Sep 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Rehabilitation Practitioner 225400000X Primary

Addresses

Primary practice location

1540 Alcazar St # St133
Los Angeles, CA 90089-0080

Mailing address

150 Via Merida
Westlake Village, CA 91362-3816

Other practice location 1

14515 Hamlin St
Van Nuys, CA 91411-1608
Phone (818) 989-7475

Other practice location 2

150 Via Merida
Westlake Village, CA 91362-3816
Phone (805) 370-4420

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": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1114445848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 VIA MERIDA",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 ALCAZAR ST # ST133",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900890080",
            "telephone_number": "323-442-2149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14515 Hamlin St",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914111608",
            "country_code": "US",
            "telephone_number": "818-989-7475",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Via Merida",
            "address_purpose": "LOCATION",
            "city": "Westlake Village",
            "state": "CA",
            "postal_code": "913623816",
            "country_code": "US",
            "telephone_number": "805-370-4420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELGAR",
        "first_name": "CLAUDIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-01",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.