Mellany Javier Ilagan-Adamson, PT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT37238 Issued in CA

Practice address

21183 Sailors Bay LN
Huntington Beach, CA 92646-6920

Phone

(989) 884-3278

NPI assigned

Nov 19, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jin Moon Chiropractic Group IncGroup PAC ID 1759439391, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Jin Moon Chiropractic Group, Inc.

  • Chiropractor
  • Buena Park, CA
  • NPI 1750526547

  Physical Therapy

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1144522384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 467",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926480467",
            "telephone_number": "989-884-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21183 SAILORS BAY LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926466920",
            "telephone_number": "989-884-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILAGAN-ADAMSON",
        "first_name": "MELLANY",
        "middle_name": "JAVIER",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-19",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT37238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Takako Ibusuki, L.C.S.W.
• Sunita Ravinder Idnani, M.D.
• Yulia Olegovna Ievleva, LMFT
• Laurence Ikuo Ikeda, M.D.
• Matthew Elijah Ikeda, PT, DPT
• Jeffrey Stuart Illeck, M.D.
• Muaz Ilyas
• Terry Imagawa, D.D.S.
• Image Plastic Surgery Center a Medical Corporation
• Imperial Clinical Laboratory Inc

• Physical Therapy Clinic/Center in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.