Individual provider Active NPI

Melissa Louise Zankich-Patalan

  • Family Nurse Practitioner
  • Laguna Hills, CA
National Provider Identifier
1154922185
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95015859 Issued in CA
Practice address
24012 Calle de la Plata Ste 230
Laguna Hills, CA 92653-7623
Phone
(805) 719-3700
Fax
(805) 413-9099
NPI assigned
Nov 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95015859 CA Primary

Addresses

Primary practice location

24012 Calle de la Plata Ste 230
Laguna Hills, CA 92653-7623

Mailing address

135 S State College Blvd Ste 350
Brea, CA 92821-5814
Phone (805) 719-3700

Other practice location 1

77 Rolling Oaks Dr Ste 201
Thousand Oaks, CA 91361-1018
Phone (805) 719-3700

Other practice location 2

23456 Hawthorne Blvd Ste 140
Torrance, CA 90505-4716
Phone (805) 719-3700

Other practice location 3

2121 Wilshire Blvd Ste 303
Santa Monica, CA 90403-5743
Phone (805) 719-3700

Other practice location 4

440 N Mountain Ave Ste 103
Upland, CA 91786-5183
Phone (805) 719-3700

Other practice location 5

27555 Ynez Rd Ste 370
Temecula, CA 92591-4678
Phone (805) 719-3700

Other practice location 6

79440 Corporate Center Dr Ste 100
LA Quinta, CA 92253-7243
Phone (805) 719-3700

Other practice location 7

501 N Central Ave
Glendale, CA 91203-1901
Phone (805) 719-3700

Other practice location 8

2720 N Harbor Blvd Ste 200
Fullerton, CA 92835-2626
Phone (805) 719-3700

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210331002012 CA Practitioner - Nurse Practitioner 2567879943 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anaheim Emergency Medical GroupGroup PAC ID 9133585029, 21 clinicians
Riverside Emergency Physicians Medical GroupGroup PAC ID 0547173882, 25 clinicians

Practice addresses (Care Compare)

1111 W la Palma Ave
Anaheim, CA 92801-2804
Phone (951) 898-0823

3865 Jackson St
Riverside, CA 92503-3919
Phone (951) 352-5666

Hospital & facility affiliations

  • Ahmc Anaheim Regional Medical Center Hospital, Anaheim, CA, CCN 050226
  • Parkview Community Hospital Medical Center Hospital, Riverside, CA, CCN 050102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Emergency Physicians Medical Group CurrentSince Oct 1, 2023 Accepting new patients
Infusion4Health Nurse Practitioner CurrentSince Feb 15, 2021 Accepting new patients
Anaheim Emergency Medical Group CurrentSince Oct 1, 2023 Accepting new patients
Seven Star Hospital Associates Inc. CurrentSince Jul 11, 2022 Accepting new patients

Locations

1111 W La Palma Ave
Anaheim, CA 92801
Phone (714) 774-1450

135 S State College Blvd
Ste 350
Brea, CA 92821

2720 N Harbor Blvd
Ste 200
Fullerton, CA 92835
Phone (714) 449-6900

501 N Central Ave
Glendale, CA 91203
Phone (805) 505-7757

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

79440 Corporate Center Dr
Ste 100
La Quinta, CA 92253

24012 Calle de la Plata
Ste 230
Laguna Hills, CA 92653
Phone (805) 505-7757

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211

2121 Wilshire Blvd
Ste 303
Santa Monica, CA 90403
Phone (310) 264-1777

27555 Ynez Rd
Ste 370
Temecula, CA 92591
Phone (951) 699-3299

77 Rolling Oaks Dr
Ste 201
Thousand Oaks, CA 91361
Phone (805) 413-9099

23456 Hawthorne Blvd
Ste 140
Torrance, CA 90505

440 N Mountain Ave
Ste 103
Upland, CA 91786

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

4401 W Memorial Rd
Ste 121
Oklahoma City, OK 73134
Phone (405) 749-4560

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1154922185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 S STATE COLLEGE BLVD STE 350",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215814",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24012 CALLE DE LA PLATA STE 230",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537623",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Rolling Oaks Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913611018",
            "country_code": "US",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23456 Hawthorne Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905054716",
            "country_code": "US",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2121 Wilshire Blvd Ste 303",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904035743",
            "country_code": "US",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "440 N Mountain Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917865183",
            "country_code": "US",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27555 Ynez Rd Ste 370",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925914678",
            "country_code": "US",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "79440 Corporate Center Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "LA Quinta",
            "state": "CA",
            "postal_code": "922537243",
            "country_code": "US",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 N Central Ave",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912031901",
            "country_code": "US",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2720 N Harbor Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928352626",
            "country_code": "US",
            "telephone_number": "805-719-3700",
            "fax_number": "805-413-9099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZANKICH-PATALAN",
        "first_name": "MELISSA",
        "middle_name": "LOUISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95015859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.