Jacob J Melgar

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

302374 Issued in CA

Practice address

10636 Woodley Ave Unit 60
Granada Hills, CA 91344-6944

Phone

(818) 644-1752

NPI assigned

May 1, 2024

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Valley Physical Therapy IncGroup PAC ID 4486895406, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Valley Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Granada Hills, CA
  • NPI 1679910822

  Orthopedic

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1295582096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10636 WOODLEY AVE UNIT 60",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446944",
            "telephone_number": "818-644-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10636 WOODLEY AVE UNIT 60",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913446944",
            "telephone_number": "818-644-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELGAR",
        "first_name": "JACOB",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "302374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medride Transport, LLC
• Medwheelz Inc
• Mehdi Fakhrai MD, F.I.C.S., F.a.C.S., Medical Corporation
• Kalyani Nilesh Mehta, MD
• Albert J Melaragno, M.D.
• Carl Bernard Melnik, O.D.
• Melizza Atienza Mendoza
• Meridian Elderly Assisted Living Inc
• Meyer Psychotherapy, Inc
• James Anthony Michail, M.D.

• Orthopedic Physical Therapist in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.