Active NPI
Robert L Mellon, M.D.
- Anesthesiology Physician
- Chico, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A124377
- Practice address
- 121 Raley Blvd
Chico, CA 95928-8347 - Phone
- (530) 898-1201
- NPI assigned
- Aug 24, 2006
- Last updated
- May 15, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 0101240393 | VA | |
| Anesthesiology Physician | 207L00000X | A124377 | CA | Primary |
Addresses
Primary practice location
121 Raley Blvd
Chico, CA 95928-8347
Mailing address
537 Madrone Ave
Chico, CA 95926-1720
Phone (301) 466-8428
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- George Washington University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
121 Raley Blvd
Chico, CA 95928-8347
Phone (530) 230-2000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101240393 | VA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentinel Anesthesia | Anesthesiology | Current | Accepting new patients |
| Northstate Anesthesiology Partners a Medical Corporation | Anesthesiology | Current | Accepting new patients |
| Anesthesia Associates of Chico | Anesthesiology | Current | Accepting new patients |
| Enloe Medical Center | Past | Accepting new patients |
Locations
121 Raley Blvd
Chico, CA 95928
Phone (530) 230-2000
888 Lakeside Vlg Cmns
Chico, CA 95928
Phone (530) 332-6800
2175 Rosaline Ave
Ste A
Redding, CA 96001
Phone (530) 225-7400
2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700
Interoperability endpoints
- rmellon15352@enloedirect.org
Organizations & group practices 4
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.
-
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- Chico, CA
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684108800000",
"number": "1235246471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "537 MADRONE AVE",
"city": "CHICO",
"state": "CA",
"postal_code": "959261720",
"telephone_number": "301-466-8428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 RALEY BLVD",
"city": "CHICO",
"state": "CA",
"postal_code": "959288347",
"telephone_number": "530-898-1201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELLON",
"first_name": "ROBERT",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0101240393",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A124377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.