NPIMap

Individual provider Active NPI

Maged Melek, M.D.

  • Family Medicine Physician
  • Beaumont, CA
National Provider Identifier
1154674877
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
144514 Issued in CA
Practice address
81 Highland Springs Ave Ste 303
Beaumont, CA 92223-3170
Phone
(951) 849-3375
NPI assigned
Oct 18, 2012
Last updated
May 8, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125060127 IL
Family Medicine Physician 207Q00000X 144514 CA Primary

Addresses

Primary practice location

81 Highland Springs Ave Ste 303
Beaumont, CA 92223-3170

Mailing address

File#54701
Los Angeles, CA 90074-4701
Phone (909) 558-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170706002567 CA Practitioner - Family Practice 6608090394 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians

Practice addresses (Care Compare)

15733 Whittier Blvd
Whittier, CA 90603-2312
Phone (562) 947-7754

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
144514CAMDMarriage & Family Therapist
125060127ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sac Health System Current Accepting new patients
Department of State Hospitals Current Accepting new patients
Department of State Hospitals CurrentSince May 21, 2022 Accepting new patients
Department of State Hospitals CurrentSince May 21, 2022 Accepting new patients
Pih Health Physicians CurrentSince Nov 1, 2021 Accepting new patients
Pih Health Physicians CurrentSince Nov 1, 2021 Accepting new patients
Sac Health System CurrentSince Sep 15, 2018 Accepting new patients
Pih Health Physicians Family Medicine Current Accepting new patients
Sac Health System CurrentSince Sep 15, 2018 Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Bright Medical Associates, Inc. Past Accepting new patients
Holy Cross Hospital Past Accepting new patients

Locations

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

11401 Bloomfield Ave
Norwalk, CA 90650
Phone (562) 863-7011

1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805

1455 3rd Ave
Sn Bernrdno, CA 92408
Phone (909) 382-7146

15733 Whittier Blvd
Whittier, CA 90603
Phone (562) 947-7754

Organizations & group practices 12

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": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1154674877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE#54701",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900744701",
            "telephone_number": "909-558-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 HIGHLAND SPRINGS AVE STE 303",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922233170",
            "telephone_number": "951-849-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELEK",
        "first_name": "MAGED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-18",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125060127",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "144514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, CA

Sources for this page

Verify at the official NPI Registry.