Individual provider Active NPI

Melissa J London, PA-C

  • Physician Assistant
  • Beverly Hills, CA
National Provider Identifier
1215495635
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
58288 Issued in CA
Practice address
50 N la Cienega Blvd Ste 204
Beverly Hills, CA 90211-2246
Phone
(424) 777-0349
Fax
(424) 777-0431
NPI assigned
Mar 5, 2019
Last updated
Jan 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 58288 CA Primary

Addresses

Primary practice location

50 N la Cienega Blvd Ste 204
Beverly Hills, CA 90211-2246

Mailing address

50 N la Cienega Blvd Ste 204
Beverly Hills, CA 90211-2246

Other practice location 1

3132 W March Ln Ste 5
Stockton, CA 95219-2354
Phone (209) 475-5500

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201009000865 CA Practitioner - Physician Assistant 1759701915 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mlondon412820@direct.cshs.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1215495635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N LA CIENEGA BLVD STE 204",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N LA CIENEGA BLVD STE 204",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112246",
            "telephone_number": "424-777-0349",
            "fax_number": "424-777-0431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3132 W March Ln Ste 5",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952192354",
            "country_code": "US",
            "telephone_number": "209-475-5500",
            "fax_number": "209-475-5535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONDON",
        "first_name": "MELISSA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "58288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.