Active NPI
Melody Bernadette Fallon, CADCII
- Addiction (Substance Use Disorder) Counselor
- Oxnard, CA
National Provider Identifier
1205588720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- AII059730618
- Practice address
- 1911 Williams Dr Ste C
Oxnard, CA 93036-2612 - Phone
- (805) 981-9210
- NPI assigned
- Jan 25, 2022
- Last updated
- Jan 25, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | AII059730618 | CA | Primary |
Addresses
Primary practice location
1911 Williams Dr Ste C
Oxnard, CA 93036-2612
Mailing address
749 Devonshire Dr
Oxnard, CA 93030-4226
Phone (805) 258-8230
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 |
|---|---|---|---|
| AII059730618 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643068800000",
"number": "1205588720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "749 DEVONSHIRE DR",
"city": "OXNARD",
"state": "CA",
"postal_code": "930304226",
"telephone_number": "805-258-8230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1911 WILLIAMS DR STE C",
"city": "OXNARD",
"state": "CA",
"postal_code": "930362612",
"telephone_number": "805-981-9210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALLON",
"first_name": "MELODY",
"middle_name": "BERNADETTE",
"credential": "CADCII",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-25",
"last_updated": "2022-01-25",
"certification_date": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "AII059730618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oxnard, CA
- Emily Elaine Ewing, FNP
- Elizabeth Exell, LCSW
- Francisca Fabian Lopez
- Matthew Aaron Fabian
- Gloria Bernadeth Fabillaran
- Family Circle Inc. (Oxnard Family Circle ADHC)
- Family Planning Associates Medical Group Inc (FPA Women's Health)
- Family Planning Associates Medical Group Inc (FPA Women's Health)
- Family Planning Surgery Center, LLC
- Farhad Daftary DMD Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.