Active NPI
Bertha Melendez
- Family Nurse Practitioner
- Orange, CA
National Provider Identifier
1184299943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95016742
- Practice address
- 1234 W Chapman Ave Ste 205
Orange, CA 92868-2863 - Phone
- (714) 639-1815
- NPI assigned
- May 24, 2021
- 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 | 95016742 | CA | Primary |
Addresses
Primary practice location
1234 W Chapman Ave Ste 205
Orange, CA 92868-2863
Mailing address
4437 Owens St Unit 105
Corona, CA 92883-7396
Phone (714) 262-3596
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95016742 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diabetes Associates Medical Group | Current | Accepting new patients |
Locations
1234 W Chapman Ave
Ste 205
Orange, CA 92868
Phone (714) 639-1815
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Orange, CA
- NPI 1407164460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633046400000",
"number": "1184299943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4437 OWENS ST UNIT 105",
"city": "CORONA",
"state": "CA",
"postal_code": "928837396",
"telephone_number": "714-262-3596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1234 W CHAPMAN AVE STE 205",
"city": "ORANGE",
"state": "CA",
"postal_code": "928682863",
"telephone_number": "714-639-1815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELENDEZ",
"first_name": "BERTHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-24",
"last_updated": "2021-10-01",
"certification_date": "2021-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95016742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.