Melissa Ann Teoli, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601007346 Issued in MI

Practice address

255 Terraciha Blvd Suite 101a
Redlands, CA 92373

Phone

(909) 748-6569

Fax

(909) 307-1231

NPI assigned

Apr 30, 2015

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

Other names 1

• Ms. Melissa Ann Kloote Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: mteoli828970@direct.llu.edu

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.

• Walter Jones, III, M.D., Inc.

  • Internal Medicine Physician
  • Redlands, CA
  • NPI 1669660338
  NPD (past)

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1174900989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19374 SOUTHAMPTON DR",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481524106",
            "telephone_number": "248-345-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 TERRACIHA BLVD SUITE 101A",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "92373",
            "telephone_number": "909-748-6569",
            "fax_number": "909-307-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEOLI",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-30",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601007346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "KLOOTE",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tanya L Taylor
• Timothy Michael Taylor, NP
• Lena Te, PHARM.D.
• Rebecca Becky Tekeian
• Tennessee Dental Corporation
• Terracina Surgical Arts Inc
• Alexander Terrazas, MD
• Christina Thaxton
• Ashlea Thayer, LVN
• The Botox Spot Physician Assistant Corporation

• Medical Physician Assistant in Redlands, CA
• Providers in Redlands, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.