Individual provider Active NPI

Melissa Burney Vladimirov, PA-C

  • Physician Assistant
  • Oxnard, CA
National Provider Identifier
1386260842
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA58612 Issued in CA
Practice address
1901 Outlet Center Dr Ste 210
Oxnard, CA 93036-0666
Phone
(805) 983-0425
Fax
(805) 983-0414
NPI assigned
Jun 22, 2020
Last updated
Jul 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA58612 CA Primary

Addresses

Primary practice location

1901 Outlet Center Dr Ste 210
Oxnard, CA 93036-0666

Mailing address

1901 Outlet Center Dr Ste 210
Oxnard, CA 93036-0666
Phone (805) 983-0425

Other identifiers 1

IdentifierTypeStateIssuer
PA58612OtherCACALIFORNIA PHYSICIAN ASSISTANT BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201218001729 CA Practitioner - Physician Assistant 7012329857 Reassigns benefits to 1 organization
I20250923001118 PA Practitioner - Physician Assistant 7012329857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Duke University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Link Neuroscience Institute PCGroup PAC ID 7214435965, 16 clinicians
Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians

Practice addresses (Care Compare)

1901 Outlet Ctr Dr
Suite 210
Oxnard, CA 93036-0666
Phone (805) 983-0425

3401 N Broad St
Philadelphia, PA 19140-5103

7600 Central Ave
Philadelphia, PA 19111-2442
Phone (215) 707-5864

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA58612CAMDPhysician Assistant
MA066615PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Faculty Practice Plan, Inc CurrentSince Aug 25, 2025 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Aug 25, 2025 Accepting new patients
Link Neuroscience Institute PC CurrentSince Feb 1, 2026 Accepting new patients
Temple Faculty Practice Plan Inc Past Accepting new patients
Link in-Patient Services PC Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients

Locations

18350 Roscoe Blvd
Ste 706
Northridge, CA 91325
Phone (805) 983-0425

1700 N Rose Ave
Ste 470
Oxnard, CA 93030
Phone (805) 988-2775

1901 Outlet Center Dr
Ste 210
Oxnard, CA 93036
Phone (805) 485-3800

2323 De la Vina St
Ste 205
Santa Barbara, CA 93105
Phone (805) 983-0425

2750 Sycamore Dr
Ste 200
Simi Valley, CA 93065
Phone (805) 579-0821

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

3500 N Broad St
Rm 1A
Philadelphia, PA 19140
Phone (215) 707-2433

7604 Central Ave
Philadelphia, PA 19111
Phone (215) 214-6655

8815 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8145

Organizations & group practices 7

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 1

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": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1386260842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 OUTLET CENTER DR STE 210",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360666",
            "telephone_number": "805-983-0425",
            "fax_number": "805-983-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 OUTLET CENTER DR STE 210",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930360666",
            "telephone_number": "805-983-0425",
            "fax_number": "805-983-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VLADIMIROV",
        "first_name": "MELISSA",
        "middle_name": "BURNEY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA58612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA PHYSICIAN ASSISTANT BOARD",
            "identifier": "PA58612",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.