Individual provider Active NPI

Melinda Scully, M.D.

  • Maternal & Fetal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1205854049
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
A62325 Issued in CA
Practice address
1100 Van Ness Ave FL 4
San Francisco, CA 94109
Phone
(415) 600-6400
Fax
(415) 369-1384
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X A62325 CA Primary

Addresses

Primary practice location

1100 Van Ness Ave FL 4
San Francisco, CA 94109

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408
Phone (415) 600-6400

Other practice location 1

1 Daniel Burnham Ct
Suite 230C
San Francisco, CA 94109-5455
Phone (415) 202-1200

Other practice location 2

5730 Telegraph Ave Ste 117
Oakland, CA 94609-1710
Phone (415) 600-6400

Other practice location 3

1720 El Camino Real Ste 130
Burlingame, CA 94010-3226
Phone (415) 600-6400

Other practice location 4

165 Rowland Way Ste 201
Novato, CA 94945-5055
Phone (415) 600-6400

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040301000577 CA Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 6507753027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Chicago, Pritzker School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

3883 Airway Dr
Santa Rosa, CA 95403-1671

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Mar 17, 2019 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Mar 17, 2019 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590

1720 El Camino Real
Ste 130
Burlingame, CA 94010
Phone (650) 692-0977

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

165 Rowland Way
Ste 201
Novato, CA 94945
Phone (415) 600-1817

5730 Telegraph Ave
Ste 117
Oakland, CA 94609
Phone (510) 204-1507

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

1100 Van Ness Ave
Fl 4
San Francisco, CA 94109
Phone (415) 600-0930

3838 California St
Rm 404
San Francisco, CA 94118
Phone (415) 600-0940

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

4000 Civic Center Dr
Ste 205
San Rafael, CA 94903
Phone (415) 479-7244

2128 Soquel Ave
Santa Cruz, CA 95062
Phone (831) 425-0727

990 Sonoma Ave
Ste 9
Santa Rosa, CA 95404
Phone (707) 545-4537

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

1551 Bishop St
Ste 110
Sn Luis Obisp, CA 93401
Phone (805) 548-8585

10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488

550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865

Interoperability endpoints

  • Direct secure messaging: mscully183037@hisp.ehr.sutterhealth.org

Organizations & group practices 7

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1205854049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408",
            "telephone_number": "415-600-6400",
            "fax_number": "415-369-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 VAN NESS AVE FL 4",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94109",
            "telephone_number": "415-600-6400",
            "fax_number": "415-369-1384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Daniel Burnham Ct",
            "address_2": "Suite 230C",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941095455",
            "country_code": "US",
            "telephone_number": "415-202-1200",
            "fax_number": "415-202-1201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5730 Telegraph Ave Ste 117",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946091710",
            "country_code": "US",
            "telephone_number": "415-600-6400",
            "fax_number": "415-369-1384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1720 El Camino Real Ste 130",
            "address_purpose": "LOCATION",
            "city": "Burlingame",
            "state": "CA",
            "postal_code": "940103226",
            "country_code": "US",
            "telephone_number": "415-600-6400",
            "fax_number": "415-369-1248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "165 Rowland Way Ste 201",
            "address_purpose": "LOCATION",
            "city": "Novato",
            "state": "CA",
            "postal_code": "949455055",
            "country_code": "US",
            "telephone_number": "415-600-6400",
            "fax_number": "415-369-1284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCULLY",
        "first_name": "MELINDA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "A62325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.