NPIMap

Individual provider Active NPI

Anna Mellor, MD

  • Internal Medicine Physician
  • Rolling Hills Estates, CA
National Provider Identifier
1316998776
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G75407 Issued in CA
Practice address
602 Deep Valley Dr Ste 314
Rolling Hills Estates, CA 90274-3745
Phone
(310) 645-1024
Fax
(213) 618-3367
NPI assigned
May 12, 2006
Last updated
Mar 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G75407 CA Primary

Addresses

Primary practice location

602 Deep Valley Dr Ste 314
Rolling Hills Estates, CA 90274-3745

Mailing address

PO Box 66657
Seattle, WA 98166-0657
Phone (310) 645-1024

Other practice location 1

3701 Skypark Dr
Suite 100
Torrance, CA 90505-4753
Phone (310) 378-2234

Other identifiers 1

IdentifierTypeStateIssuer
00G75400OtherCABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051115001103 CA Practitioner - Internal Medicine 4789617200 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Howard University College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Anna Mellor MD IncGroup PAC ID 2466860739, 2 clinicians

Practice addresses (Care Compare)

602 Deep Valley Dr
Rolling Hills Estates, CA 90274-3449
Phone (310) 645-1024

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions20
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Torrance Health Association Inc CurrentSince Jul 15, 2013 Accepting new patients
South Bay Family Medical Group Internal Medicine Current Accepting new patients
Anna Mellor MD Inc Internal Medicine CurrentSince Mar 1, 2021 Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients
Providence Health System Southern California Past Accepting new patients

Locations

855 Manhattan Beach Blvd
Ste 102
Manhattan Beach, CA 90266
Phone (310) 374-9649

514 N Prospect Ave
Fl 4
Redondo Beach, CA 90277
Phone (310) 750-3300

602 Deep Valley Dr
Ste 314
Rolling Hills Estates, CA 90274
Phone (310) 645-1024

23326 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 257-7205

3105 Lomita Blvd
Torrance, CA 90505
Phone (310) 784-3706

3701 Skypark Dr
Ste 100
Torrance, CA 90505
Phone (310) 378-2234

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1316998776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66657",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981660657",
            "telephone_number": "310-645-1024",
            "fax_number": "213-618-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 DEEP VALLEY DR STE 314",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743745",
            "telephone_number": "310-645-1024",
            "fax_number": "213-618-3367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3701 Skypark Dr",
            "address_2": "SUITE 100",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905054753",
            "country_code": "US",
            "telephone_number": "310-378-2234",
            "fax_number": "310-378-9795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELLOR",
        "first_name": "ANNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G75407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G75400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Hills Estates, CA

Sources for this page

Verify at the official NPI Registry.