Melody Tavakoli O.D., Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

14039TLG Issued in CA

Legal business name

MELODY TAVAKOLI O.D., PROFESSIONAL CORPORATION

Practice address

700 E Naples CT
Chula Vista, CA 91911-6821

Phone

(818) 516-8753

NPI assigned

May 28, 2015

Organization subpart

No

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

Authorized official

Name

Melody Tavakoli, O.D.NPI 1154623254

Title

Owner

Phone

(818) 516-8753

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melody Deborah Tavakoli, O.D.

  • Optometrist
  • San Diego, CA
  • NPI 1154623254
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1275912800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3358",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921631358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E NAPLES CT",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116821",
            "telephone_number": "818-516-8753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELODY TAVAKOLI O.D., PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "TAVAKOLI",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-516-8753",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14039TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sahlee Cristine Melad, D.D.S.
• Ricardo Melchor III, PT, DPT
• Weslee Shont'a Melchor, PMHNP-BC
• Pia Melgar
• Janis Ann Mellinger, LMFT
• Melvin a. Ochs, M.D., Medica Corp
• Norma Lorena Menchaca
• Eduardo Mendez Campos
• Alfredo Mendez
• Andrew K Mendez

• Optometrist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.