Active NPI
Melina Islas
- Psychologist
- San Diego, CA
National Provider Identifier
1255119384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 3665 Kearny Villa Rd Ste 400
San Diego, CA 92123-1955 - Phone
- (858) 966-1700
- NPI assigned
- Sep 19, 2023
- Last updated
- Sep 19, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | NU | Primary |
Addresses
Primary practice location
3665 Kearny Villa Rd Ste 400
San Diego, CA 92123-1955
Mailing address
3376 Grim Ave Apt 4
San Diego, CA 92104-4650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695081600000",
"number": "1255119384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3376 GRIM AVE APT 4",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921044650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3665 KEARNY VILLA RD STE 400",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231955",
"telephone_number": "858-966-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISLAS",
"first_name": "MELINA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-19",
"last_updated": "2023-09-19",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.