Active NPI
Jessica Mehlman, FNP
- Family Nurse Practitioner
- Mission Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95006212
- Practice address
- 11600 Indian Hills Rd Ste 200a
Mission Hills, CA 91345-1225 - Phone
- (818) 838-4500
- NPI assigned
- Jul 17, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95006212 | CA | Primary |
Addresses
Primary practice location
11600 Indian Hills Rd Ste 200a
Mission Hills, CA 91345-1225
Mailing address
11600 Indian Hills Rd Ste 200a
Mission Hills, CA 91345-1225
Phone (818) 838-4500
Other practice location 1
11600 Indian Hills Rd Ste 200A
Mission Hills, CA 91345-1225
Phone (818) 838-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Memorial Medical Group Inc | Past | Accepting new patients | |
| Algos Inc., a Medical Corporation | Past | Accepting new patients |
Locations
1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000
5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864
2211 W Magnolia Blvd
Ste 120
Burbank, CA 91506
Phone (818) 955-5773
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
11600 Indian Hills Rd
Ste 200A
Mission Hills, CA 91345
Phone (818) 838-4500
1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611
19191 S Vermont Ave
Fl 7
Torrance, CA 90502
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
-
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
-
- Pain Medicine Physician
- Pasadena, CA
- NPI 1497747356
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1255523643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1386167815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11600 INDIAN HILLS RD STE 200A",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913451225",
"telephone_number": "818-838-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11600 INDIAN HILLS RD STE 200A",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913451225",
"telephone_number": "818-838-4500"
}
],
"practiceLocations": [
{
"address_1": "11600 Indian Hills Rd Ste 200A",
"address_purpose": "LOCATION",
"city": "Mission Hills",
"state": "CA",
"postal_code": "913451225",
"country_code": "US",
"telephone_number": "818-838-4500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEHLMAN",
"first_name": "JESSICA",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-17",
"last_updated": "2021-05-11",
"certification_date": "2021-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95006212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.