Melody Fatehi

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1178024 Issued in CA

Practice address

2507 Eastbluff Dr
Newport Beach, CA 92660-3504

Phone

(949) 200-1655

NPI assigned

Oct 5, 2020

Last updated

Feb 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brentview Medical IncGroup PAC ID 6608990742, 11 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brentview Medical Inc.

  dba Brentview Medical Urgent Care

  • Urgent Care Clinic/Center
  • Los Angeles, CA
  • NPI 1447581350
  Medicare reassignment Care Compare group NPD
• Bahar Medical Group Inc

  dba Vital Primary Care

  • Internal Medicine Physician
  • Anaheim, CA
  • NPI 1417274952
  Medicare reassignment
• Skinpeccable Inc.

  dba Concierge Medicine/LA

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1194058578
  Medicare reassignment
• 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": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1174120943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6228 ORANGE ST APT 9",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484836",
            "telephone_number": "949-637-9069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 EASTBLUFF DR",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603504",
            "telephone_number": "949-200-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATEHI",
        "first_name": "MELODY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "1178024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel F Farrier, M.D.
• Arta Farshidi, M.D.
• Farzan S. Rajput, MD Inc
• Mahin G Farzin, DDS
• Julio Cesar Fassino, D.C.
• Mariam Fazil-Nageer, PMHNP-BC
• Amal Fazli
• Anthony G Fedoryk, D.C.
• Melissa Wells Fedoryk, MA
• Jennifer L Fee, PSY.D.

• Physician Assistant in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.

Verify at the official NPI Registry.