Individual provider Active NPI

Melissa Domiano Ratsamy

  • Rehabilitation Practitioner
  • San Diego, CA
National Provider Identifier
1144882622
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
1144882622 Issued in CA
Practice address
6160 Mission Gorge Rd Ste 100
San Diego, CA 92120-3425
Phone
(619) 481-3790
Fax
(619) 481-3797
NPI assigned
Jul 3, 2019
Last updated
Aug 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 1144882622 CA
Peer Specialist 175T00000X
Rehabilitation Practitioner 225400000X 1144882622 CA Primary

Addresses

Primary practice location

6160 Mission Gorge Rd Ste 100
San Diego, CA 92120-3425

Mailing address

6160 Mission Gorge Rd Ste 100
San Diego, CA 92120-3425
Phone (619) 481-3790

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

LicenseStateTypeSpecialty
1144882622CAMDRehabilitation Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Community Services LLC PastSince Aug 25, 2025 Accepting new patients
Pathways Community Services LLC PastSince Aug 25, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1144882622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 MISSION GORGE RD STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921203425",
            "telephone_number": "619-481-3790",
            "fax_number": "619-481-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 MISSION GORGE RD STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921203425",
            "telephone_number": "619-481-3790",
            "fax_number": "619-481-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMIANO RATSAMY",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": "1144882622",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": "1144882622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.

Verify at the official NPI Registry.