Melinda Medeiros, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

9277 Issued in CA

Practice address

800 Fairmount Ave
Suite 220
Pasadena, CA 91105-3150

Phone

(626) 486-0181

Fax

(626) 486-0189

NPI assigned

Mar 24, 2014

Last updated

Apr 20, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: mmedeiros420163@direct.cshs.org

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1194142539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50148",
            "address_2": "SUITE 201",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911150148",
            "telephone_number": "626-486-0181",
            "fax_number": "626-486-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 FAIRMOUNT AVE",
            "address_2": "SUITE 220",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053150",
            "telephone_number": "626-486-0181",
            "fax_number": "626-486-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDEIROS",
        "first_name": "MELINDA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "9277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Med Care Plus Home Health, Inc.
• Med Care Plus Inc (Med Care Plus Hospice)
• Med Care Plus, Inc. (Med Care Plus Home Health)
• Med Tec Diagnostic Inc.
• Alisa Medders
• Selena Medeiros
• Adriana Marie Medel
• Medical Support Los Angeles a Medical Corp
• Medical Support Los Angeles a Medical Corporation
• Omar de Jesus Medina Martinez

• Acute Care Nurse Practitioner in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Acute Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.