Individual provider Active NPI

Melissa Anne Munsell, M.D.

  • Gastroenterology Physician
  • Torrance, CA
National Provider Identifier
1134276272
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A108004 Issued in CA
Practice address
2780 Skypark Dr Ste 125
Torrance, CA 90505-7528
Phone
(310) 530-8013
Fax
(310) 530-8014
NPI assigned
Jan 4, 2007
Last updated
Nov 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A108004 CA Primary

Addresses

Primary practice location

2780 Skypark Dr Ste 125
Torrance, CA 90505-7528

Mailing address

5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091023000326 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 4688711674 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Chicago, Pritzker School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Bay Gastroenterology Medical GroupGroup PAC ID 4183651375, 12 clinicians

Practice addresses (Care Compare)

23456 Hawthorne Blvd
Suite 300
Torrance, CA 90505-4716
Phone (310) 539-2055

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy48
Upper gastrointestinal (GI) endoscopy for acid reflux36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A108004CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Bay Gastroenterology Medical Group Gastroenterology CurrentSince Jan 3, 2021 Accepting new patients
The Regents of the University of California CurrentSince Dec 1, 2014 Accepting new patients
Providence Health System Southern California Past Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients

Locations

200 Medical Plz
Ste 465
Los Angeles, CA 90095
Phone (310) 825-5510

File 55737
Los Angeles, CA 90074

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

514 N Prospect Ave
Redondo Beach, CA 90277
Phone (310) 379-6671

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

23456 Hawthorne Blvd
Ste 300
Torrance, CA 90505
Phone (310) 316-6190

23560 Madison St
Ste 109
Torrance, CA 90505
Phone (310) 325-6331

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1134276272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD",
            "address_2": "SUITE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 SKYPARK DR STE 125",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905057528",
            "telephone_number": "310-530-8013",
            "fax_number": "310-530-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNSELL",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A108004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.