Individual provider Active NPI

Jessica Mehlman, FNP

  • Family Nurse Practitioner
  • Mission Hills, CA
National Provider Identifier
1386167815
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95006212 Issued in CA
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

Updated by the provider on May 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211222002612 CA Practitioner - Nurse Practitioner 8022409200 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince Sep 14, 2021 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Sep 14, 2021 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.

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

Verify at the official NPI Registry.