Organization Active NPI

Nicole Melwani, Mot/L

  • Preferred Provider Organization
  • Berkeley, CA
National Provider Identifier
1366995219
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
11378 Issued in CA
Legal business name
NICOLE MELWANI, MOT/L
Practice address
2198 6TH St
Suite 100
Berkeley, CA 94710-2233
Phone
(510) 549-1101
NPI assigned
Jul 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Authorized official

Name
Nicole Melwani
Title
Occupational Therapist
Phone
(831) 917-9750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 11378 CA Primary

Addresses

Primary practice location

2198 6TH St
Suite 100
Berkeley, CA 94710-2233

Mailing address

5527 Garvin Ave
Richmond, CA 94805-1116

National Provider Directory

National Provider Directory

Locations

2198 6th St
Ste 100
Berkeley, CA 94710
Phone (510) 367-0712

NPI Registry JSON

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1366995219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5527 GARVIN AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948051116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2198 6TH ST",
            "address_2": "SUITE 100",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947102233",
            "telephone_number": "510-549-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE MELWANI, MOT/L",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "MELWANI",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "831-917-9750"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "11378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.