Melissa Bausserman, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

265015 Issued in CA

Practice address

1452 Evergreen Dr
Upland, CA 91784-7409

Phone

(951) 224-2792

NPI assigned

Jul 7, 2017

Last updated

Jul 7, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499385600000",
    "number": "1245752682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15787 MESQUITE ST",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923454228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1452 EVERGREEN DR",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917847409",
            "telephone_number": "951-224-2792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUSSERMAN",
        "first_name": "MELISSA",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2017-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "265015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne Carolyn Barron, CADC-II
• Barsoum Dental
• Karim Barsoum, DDS
• Maher Labib Barsoum, DENTIST
• Basim Z. Abdelkarim, M.D., Inc. (Ideal Gastroenterology Associates)
• Joseph Bautista
• Be Authentic Family Therapy Services, Inc.
• Katherine Beber
• Jazzminn Becerra
• Beck Dental Group, Inc.

• Licensed Vocational Nurse in Upland, CA
• Providers in Upland, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.