Elizabeth Ann Silva Melo
Individual provider Active NPI Prevention Professional · Escalon, CA
NPI 1225564008 · NPPES record last updated May 11, 2017
Key facts
- NPI
- 1225564008
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Prevention Professional 405300000X
- License
- 2000008505 (CA)
- Practice address
- 562 Northwood St
Escalon, CA 95320-9675 - Phone
- (559) 707-1544
- NPI assigned
- May 11, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000008505 | CA | MD | Prevention Professional |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prevention Professional | 405300000X | 2000008505 | CA | Yes |
Addresses
Primary practice location
562 Northwood St
Escalon, CA 95320-9675
Mailing address
562 Northwood St
Escalon, CA 95320-9675
Phone (559) 707-1544
Other providers in Escalon, CA
- Soma Krishnamoorthi
- L.Edward Elliott, O.D.
- Marissa Lee
- Mayra Alejandra Manzo
- Marshall Dental Group, Inc. a Professional Dental Corporation
- Jocelyn Svetlana Nicoleniko Mitchell
- Oak Valley Hospital District
- Kathy Oshaughnessy
- Padilla Pediatric Dental Practice, Inc
- Erica Angelina Paz
All providers in Escalon, CA · Prevention Professional in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.