NPIMap

Individual provider Active NPI

Stephanie Melchor, MD

  • Obstetrics & Gynecology Physician
  • Fresno, CA
National Provider Identifier
1215499033
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A180462 Issued in CA
Practice address
2210 E Illinois Ave Ste 408
Fresno, CA 93701-2184
Phone
(559) 443-2694
Fax
(559) 443-2696
NPI assigned
Apr 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A180462 CA Primary

Addresses

Primary practice location

2210 E Illinois Ave Ste 408
Fresno, CA 93701-2184

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431
Phone (559) 443-2682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230802000886 CA Practitioner - Obstetrics/Gynecology 1759742174 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of California, Davis School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2210 E Illinois Ave
Suite 408
Fresno, CA 93701-2184
Phone (559) 443-2694

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A180462CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central California Faculty Medical Group, Inc. Current Accepting new patients
Omni Family Health CurrentSince Dec 1, 2023 Accepting new patients
Omni Family Health Current Accepting new patients
University Faculty Associates , Inc. CurrentSince Sep 11, 2023 Accepting new patients
Omni Family Health CurrentSince Dec 1, 2023 Accepting new patients
Central California Faculty Medical Group, Inc. Obstetrics & Gynecology CurrentSince Dec 1, 2024 Accepting new patients
University Faculty Associates, Inc. Obstetrics & Gynecology CurrentSince Sep 11, 2023 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Omni Family Health Past Accepting new patients
United Health Centers of the San Joaquin Valley Past Accepting new patients
Omni Family Health Past Accepting new patients

Locations

277 E Front St
Buttonwillow, CA 93206
Phone (661) 630-7381

2335 E Kashian Ln
Ste 410
Fresno, CA 93701
Phone (559) 266-4100

2210 E Illinois Ave
Ste 408
Fresno, CA 93701
Phone (559) 443-2694

290 N Wayte Ln
Ste 1200
Fresno, CA 93701

2625 E Divisadero St
Fresno, CA 93721
Phone (559) 453-5200

2335 E Kashian Ln
Ste 240
Fresno, CA 93701
Phone (559) 320-0545

6107 N 1st St
Fresno, CA 93710

355 Campus Dr
Ste E
Hanford, CA 93230
Phone (559) 584-0668

925 G St
Reedley, CA 93654
Phone (559) 558-9712

300 Pasteur Dr
Rm HH333
Stanford, CA 94305
Phone (650) 497-8928

Interoperability endpoints

  • Direct secure messaging: stephanie.melchor.1@17661.direct.athenahealth.com
  • Direct secure messaging: stephanie.melchormd.p1@direct.fpawomenshealth.nextgenshare.com
  • Direct secure messaging: stephanie.melchor.1@31788.direct.athenahealth.com
  • Direct secure messaging: stephanie.melchor.p1@direct.omnifamilyhealth.nextgenshare.com

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1215499033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 E DIVISADERO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211431",
            "telephone_number": "559-443-2682",
            "fax_number": "559-443-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 E ILLINOIS AVE STE 408",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937012184",
            "telephone_number": "559-443-2694",
            "fax_number": "559-443-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELCHOR",
        "first_name": "STEPHANIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A180462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.