Active NPI
Melissa Lynn Golde, D.P.T
- Physical Therapist
- Santa Monica, CA
National Provider Identifier
1255515284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 34188
- Practice address
- 1304 15TH Street
Suite 407
Santa Monica, CA 90404 - Phone
- (310) 393-9292
- Fax
- (310) 393-6693
- NPI assigned
- Dec 27, 2007
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 34188 | CA | Primary |
Addresses
Primary practice location
1304 15TH Street
Suite 407
Santa Monica, CA 90404
Mailing address
1304 15TH Street
Suite 407
Santa Monica, CA 90404
Phone (310) 393-9292
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233532800000",
"number": "1255515284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1304 15TH STREET",
"address_2": "SUITE 407",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "90404",
"telephone_number": "310-393-9292",
"fax_number": "310-393-6693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 15TH STREET",
"address_2": "SUITE 407",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "90404",
"telephone_number": "310-393-9292",
"fax_number": "310-393-6693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDE",
"first_name": "MELISSA",
"middle_name": "LYNN",
"credential": "D.P.T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-27",
"last_updated": "2009-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "34188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
- Terra Gold, D.O.M., L.AC.
- Bill E Goldberg, MFT MARRIAGE FAMILY
- George Ansbach Goldberg, M.D.
- Neal Stephen Goldberg
- Ross Terry Goldberg, MD
- Amy Michelle Golden Malone, PPS
- Golden State Care Services Inc (Nurse Next Door Santa Monica)
- Golden Thread Therapy & Counseling, Licensed Clinical Social Worker, PC
- Golden Wellness RX Inc (Golden Wellness Rx)
- Addison Golden
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.