Individual provider Active NPI

Melinda Lenore Myers, MD

  • Specialist
  • Walnut Creek, CA
National Provider Identifier
1194722702
Registry record updated Apr 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G30801 Issued in CA
Practice address
1776 Ygnacio Valley Rd
Ste 206
Walnut Creek, CA 94598-3125
Phone
(925) 932-1555
Fax
(925) 932-1625
NPI assigned
Jun 29, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G30801 CA Primary

Addresses

Primary practice location

1776 Ygnacio Valley Rd
Ste 206
Walnut Creek, CA 94598-3125

Mailing address

1776 Ygnacio Valley Rd
Ste 206
Walnut Creek, CA 94598-3125
Phone (925) 932-1555

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G30801CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Melinda Myers MD PastSince Jan 1, 1990 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1120003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364860800000",
    "number": "1194722702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 YGNACIO VALLEY RD",
            "address_2": "STE 206",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983125",
            "telephone_number": "925-932-1555",
            "fax_number": "925-932-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 YGNACIO VALLEY RD",
            "address_2": "STE 206",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983125",
            "telephone_number": "925-932-1555",
            "fax_number": "925-932-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "MELINDA",
        "middle_name": "LENORE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-29",
        "last_updated": "2013-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G30801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; 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.