Active NPI
Melinda R. Menchavez, PT
- Physical Therapist
- Buena Park, CA
National Provider Identifier
1194825786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-17855
- Practice address
- 8615 Knott Ave Ste 2
Buena Park, CA 90620-3897 - Phone
- (714) 310-8703
- Fax
- (888) 527-3208
- NPI assigned
- Sep 23, 2006
- Last updated
- Mar 7, 2025
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-17855 | CA | Primary |
Addresses
Primary practice location
8615 Knott Ave Ste 2
Buena Park, CA 90620-3897
Mailing address
15313 Bluefield Ave
La Mirada, CA 90638-5330
Phone (714) 310-8703
Other practice location 1
15313 Bluefield Ave
LA Mirada, CA 90638-5330
Phone (714) 310-8703
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070719000498 | CA | Practitioner - Physical Therapist in Private Practice | 1951402072 | Practice locations: Buena Park, CA; La Mirada, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8615 Knott Ave
Suite 2
Buena Park, CA 90620-3897
Phone (714) 310-8703
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17855 | CA | MD | Clinical Social Worker |
| PT-17855 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nobility Home Health Inc | Current | Accepting new patients | |
| B & C Home Health Agency LLC | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Home Health Agency
- Whittier, CA
- NPI 1245803121
-
- Home Health Agency
- Whittier, CA
- NPI 1164037578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741305600000",
"number": "1194825786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15313 BLUEFIELD AVE",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906385330",
"telephone_number": "714-310-8703",
"fax_number": "714-523-8424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8615 KNOTT AVE STE 2",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906203897",
"telephone_number": "714-310-8703",
"fax_number": "888-527-3208"
}
],
"practiceLocations": [
{
"address_1": "15313 Bluefield Ave",
"address_purpose": "LOCATION",
"city": "LA Mirada",
"state": "CA",
"postal_code": "906385330",
"country_code": "US",
"telephone_number": "714-310-8703",
"fax_number": "714-523-8424",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENCHAVEZ",
"first_name": "MELINDA",
"middle_name": "R.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-23",
"last_updated": "2025-03-07",
"certification_date": "2025-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT-17855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buena Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.