Active NPI
Melissa Louise Zankich-Patalan
- Family Nurse Practitioner
- Laguna Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95015859
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Parkview Community Hospital Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Emergency Physicians Medical Group | Current | Accepting new patients | |
| Infusion4Health | Nurse Practitioner | Current | Accepting new patients |
| Anaheim Emergency Medical Group | Current | Accepting new patients | |
| Seven Star Hospital Associates Inc. | Current | 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.
-
- Emergency Medicine Physician
- Anaheim, CA
- NPI 1114626017
-
- Emergency Medicine Physician
- Riverside, CA
- NPI 1972539039
-
- Diagnostic Radiology Physician
- Hemet, CA
- NPI 1043813140
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Anaheim, CA
- NPI 1891938122
-
- General Acute Care Hospital
- Riverside, CA
- NPI 1124596382
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.