Active NPI
Melinda Marie Bellomy-Muth, RN, NP
- Women's Health Nurse Practitioner
- Long Beach, CA
National Provider Identifier
1205820537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 19904
- Practice address
- 1050 Linden Ave
Long Beach, CA 90813 - Phone
- (562) 491-4844
- NPI assigned
- Sep 1, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | R 163611-4 | MN | |
| Women's Health Nurse Practitioner | 363LW0102X | 19904 | CA | Primary |
Addresses
Primary practice location
1050 Linden Ave
Long Beach, CA 90813
Mailing address
5509 Sunfield Ave
Lakewood, CA 90712-1855
Phone (801) 547-7417
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
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 163611-4 | MN | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533254400000",
"number": "1205820537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5509 SUNFIELD AVE",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907121855",
"telephone_number": "801-547-7417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 LINDEN AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90813",
"telephone_number": "562-491-4844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLOMY-MUTH",
"first_name": "MELINDA",
"middle_name": "MARIE",
"credential": "RN, NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-01",
"last_updated": "2018-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MN",
"license": "R 163611-4",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CA",
"license": "19904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
- Patricia A Bellas, M.D
- Jessica Jade Laksmi Bellhouse Salzetti
- Mirtha Bellido, M.S.
- Abubakar Paul Bello
- Brian Steven Bello, M.D.
- Judith Jennifer Belman, NP
- Belmont Heights Healthcare Center LLC (Country Villa Belmont Heights Healthcare Center)
- Belmont Psychological Services, a Psychology Corporation
- Belmont Shore Optometric Associates Inc.
- Belmont Shore Wellness Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.