Melody Elist, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA21954 Issued in CA

Practice address

8264 Santa Monica Blvd
West Hollywood, CA 90046-5915

Phone

(323) 522-2222

Fax

(323) 654-2221

NPI assigned

Dec 2, 2011

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primcare Medical Center IncGroup PAC ID 5092204735, 3 clinicians

SLS Medical Center PMCGroup PAC ID 2860960994, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Primcare Medical Center Inc

  • Geriatric Medicine (Family Medicine) Physician
  • North Hollywood, CA
  • NPI 1033082318
  Medicare reassignment Care Compare group NPD
• SLS Medical Center PMC

  • Family Medicine Physician
  • Encino, CA
  • NPI 1174479539
  Medicare reassignment Care Compare group
• BVM Therapy Inc.

  • Physical Therapy Clinic/Center
  • Los Angeles, CA
  • NPI 1912368358
  NPD (past)

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1154699353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8264 SANTA MONICA BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465915",
            "telephone_number": "323-522-2222",
            "fax_number": "323-654-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8264 SANTA MONICA BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465915",
            "telephone_number": "323-522-2222",
            "fax_number": "323-654-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIST",
        "first_name": "MELODY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-02",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Benn Elad, NP
• Elena Chetver, MD
• Elena Chetver, MD
• Lucy Eletel, MD
• Moamen Elhaddad, MD, DPM
• Elite Orthopedics & Associates
• Elizabeth Donnelly, Licensed Professional Clinical Counselor, P.C.
• Niki Elyasi, MD
• Anna I Emanuel, MD
• Asher Emanuel, MD, MPH

• Physician Assistant in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.