Individual provider Active NPI

Melanie C Barillas, OTR/L

  • Occupational Therapist
  • Long Beach, CA
National Provider Identifier
1275236234
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
24687 Issued in CA
Practice address
4010 Orange Ave
Long Beach, CA 90807-3717
Phone
(562) 428-3556
NPI assigned
Mar 27, 2023
Last updated
Mar 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 24687 CA Primary

Addresses

Primary practice location

4010 Orange Ave
Long Beach, CA 90807-3717

Mailing address

4010 Orange Ave
Long Beach, CA 90807-3717
Phone (562) 428-3556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230504001620 CA Practitioner - Occupational Therapist in Private Practice 8921463530 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medcessity Inc.Group PAC ID 6204826415, 9 clinicians
Redondo Orthopedic Physical TherapyGroup PAC ID 8729382668, 14 clinicians

Practice addresses (Care Compare)

4010 Orange Ave
Long Beach, CA 90807-3717
Phone (562) 428-3556

520 N Prospect Ave
Suite 100
Redondo Beach, CA 90277-3033
Phone (310) 376-9222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Redondo Orthopedic Physical Therapy Occupational Therapist CurrentSince Oct 1, 2025 Accepting new patients
Medcessity Inc. Occupational Therapist CurrentSince Mar 29, 2023 Accepting new patients

Locations

4010 Orange Ave
Long Beach, CA 90807
Phone (562) 292-6116

520 N Prospect Ave
Ste 100
Redondo Beach, CA 90277
Phone (310) 376-9222

23133 Hawthorne Blvd
Ste 104
Torrance, CA 90505
Phone (310) 373-3181

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1275236234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 ORANGE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073717",
            "telephone_number": "562-428-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 ORANGE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073717",
            "telephone_number": "562-428-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARILLAS",
        "first_name": "MELANIE",
        "middle_name": "C",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "24687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.