Active NPI
Constantine Melitas, M.D.
- Gastroenterology Physician
- Santa Maria, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- A167829
- Practice address
- 1325 E Church St Ste 202
Santa Maria, CA 93454-5915 - Phone
- (805) 346-3456
- Fax
- (805) 346-3454
- NPI assigned
- Apr 28, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A167829 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1325 E Church St Ste 202
Santa Maria, CA 93454-5915
Mailing address
1325 E Church St Ste 202
Santa Maria, CA 93454-5915
Phone (805) 434-5530
Other practice location 1
850 Fair Oaks Ave Ste 220
Arroyo Grande, CA 93420-3929
Phone (805) 434-5530
Other practice location 2
1304 Ella St Ste A
San Luis Obispo, CA 93401-4165
Phone (805) 549-9555
Other practice location 3
350 Posada Ln Ste 202
Templeton, CA 93465-4060
Phone (805) 434-5497
Other practice location 4
16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 849-3000
Other practice location 5
2650 Ridge Avenue
Evanston, IL 60201
Phone (847) 570-2509
Other practice location 6
316 S Stratford Ave Ste B
Santa Maria, CA 93454-5908
Phone (805) 332-8446
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
316 S Stratford Ave
Suite B
Santa Maria, CA 93454-5908
Phone (805) 332-8446
Hospital & facility affiliations
- Marian Regional Medical Center
- Adventist Health Sierra Vista
- French Hospital Medical Center
- Adventist Health Twin Cities
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 107 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 615 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Central Coast Health Centers | Current | Accepting new patients | |
| Pacific Central Coast Health Centers | Current | Accepting new patients | |
| Pacific Central Coast Health Centers | Current | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Pacific Central Coast Health Centers | Past | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Past | Accepting new patients | |
| Dignity Community Care | Past | Accepting new patients | |
| Pacific Central Coast Health Centers | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients |
Locations
850 Fair Oaks Ave
Ste 220
Arroyo Grande, CA 93420
Phone (805) 434-5530
2 James Way
Ste 207
Pismo Beach, CA 93449
Phone (805) 434-5530
1325 E Church St
Ste 202
Santa Maria, CA 93454
Phone (805) 346-3456
316 S Stratford Ave
Ste B
Santa Maria, CA 93454
Phone (805) 332-8446
1414 E Main St
Ste 201
Santa Maria, CA 93454
Phone (805) 739-3112
117 W Bunny Ave
Santa Maria, CA 93458
Phone (805) 739-3474
1510 E Main St
Ste 104C
Santa Maria, CA 93454
Phone (805) 349-8514
1304 Ella St
Ste A
Sn Luis Obisp, CA 93401
Phone (805) 541-1060
350 Posada Ln
Ste 202
Templeton, CA 93465
Phone (805) 434-5497
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 9
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.
-
dba Marian Community Clinic
- Community Health Clinic/Center
- Santa Maria, CA
- NPI 1063496651
-
dba Templeton Specialty Center
- Community Health Clinic/Center
- Templeton, CA
- NPI 1336553767
-
dba Fair Oaks Specialty Center
- Community Health Clinic/Center
- Arroyo Grande, CA
- NPI 1831764117
-
dba French Hospital Medical Center
- General Acute Care Hospital
- San Luis Obispo, CA
- NPI 1881760452
-
- General Acute Care Hospital
- Santa Maria, CA
- NPI 1760510937
-
dba Arroyo Grande Community Hospital
- General Acute Care Hospital
- Arroyo Grande, CA
- NPI 1770659336
-
dba Monarch Village Health Center
- Community Health Clinic/Center
- Nipomo, CA
- NPI 1417555061
-
dba Dignity Health Women's Center - Southwest
- Community Health Clinic/Center
- Bakersfield, CA
- NPI 1720752355
-
dba University of Illinois Medical Center at Chicago
- Rehabilitation Hospital Unit
- Chicago, IL
- NPI 1780623710
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba French Hospital Medical Center
- General Acute Care Hospital
- San Luis Obispo, CA
- NPI 1881760452
-
- General Acute Care Hospital
- Santa Maria, CA
- NPI 1760510937
-
dba Sierra Vista Regional Medical Center
- General Acute Care Hospital
- San Luis Obispo, CA
- NPI 1639101116
-
dba Twin Cities Community Hospital
- General Acute Care Hospital
- Templeton, CA
- NPI 1396778197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1154731321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 E CHURCH ST STE 202",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934545915",
"telephone_number": "805-434-5530",
"fax_number": "805-556-3090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 E CHURCH ST STE 202",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934545915",
"telephone_number": "805-346-3456",
"fax_number": "805-346-3454"
}
],
"practiceLocations": [
{
"address_1": "850 Fair Oaks Ave Ste 220",
"address_purpose": "LOCATION",
"city": "Arroyo Grande",
"state": "CA",
"postal_code": "934203929",
"country_code": "US",
"telephone_number": "805-434-5530",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1304 Ella St Ste A",
"address_purpose": "LOCATION",
"city": "San Luis Obispo",
"state": "CA",
"postal_code": "934014165",
"country_code": "US",
"telephone_number": "805-549-9555",
"fax_number": "805-549-0444",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "350 Posada Ln Ste 202",
"address_purpose": "LOCATION",
"city": "Templeton",
"state": "CA",
"postal_code": "934654060",
"country_code": "US",
"telephone_number": "805-434-5497",
"fax_number": "805-434-0917",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16001 W 9 Mile Rd",
"address_purpose": "LOCATION",
"city": "Southfield",
"state": "MI",
"postal_code": "480754818",
"country_code": "US",
"telephone_number": "248-849-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2650 Ridge Avenue",
"address_purpose": "LOCATION",
"city": "Evanston",
"state": "IL",
"postal_code": "60201",
"country_code": "US",
"telephone_number": "847-570-2509",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "316 S Stratford Ave Ste B",
"address_purpose": "LOCATION",
"city": "Santa Maria",
"state": "CA",
"postal_code": "934545908",
"country_code": "US",
"telephone_number": "805-332-8446",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MELITAS",
"first_name": "CONSTANTINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-28",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A167829",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.