Jean-Philippe Melillo Abraham, MD
Individual provider Active NPI Family Medicine Physician · Marina, CA
NPI 1427463140 · NPPES record last updated Oct 15, 2018
Key facts
- NPI
- 1427463140
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A144366 (CA)
- Practice address
- 2930 2ND Ave Ste 200
Marina, CA 93933-6244 - Phone
- (831) 582-2100
- Fax
- (831) 886-1529
- NPI assigned
- Jun 23, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Monterey Hospitalist Medical Group
Montage Medical Group
Practice addresses (Care Compare)
23625 WR Holman Hwy
Monterey, CA 93940-5902
Phone (831) 625-4311
2930 2ND Ave
Suite 200
Marina, CA 93933-6244
Phone (831) 582-2100
Hospital & facility affiliations
- Central Coast Vna & Hospice, Inc
- Bridge Home Health
- Choice Home Health Care
- Community Hospital of the Monterey Peninsula
- Salinas Valley Health Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170215001066 | CA | Practitioner - Family Practice | 1658654702 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A144366 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montage Medical Group | Current |
Accepting new patients | |
| Monterey Hospitalist Medical Group | Current |
Accepting new patients | |
| Community Hospital of the Monterey Peninsula | Past | Accepting new patients |
Locations
2930 2nd Ave
Ste 200
Marina, CA 93933
Phone (831) 532-2100
2930 2nd Ave
#200
Marina, CA 93933
Phone (831) 582-2100
100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301
23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708
23845 Holman Hwy
Ste 210
Monterey, CA 93940
Phone (831) 620-0296
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A144366 | CA | Yes |
Addresses
Primary practice location
2930 2ND Ave Ste 200
Marina, CA 93933-6244
Mailing address
2930 2ND Ave Ste 200
Marina, CA 93933-6244
Phone (831) 582-2100
Other providers in Marina, CA
- Farnoosh Abbasi
- Trevor Acheson
- Action Physical Therapy of Marina
- Amy Elizabeth Adams
- Amanda Aguayo
- Maria del Carmen Aguilar
All providers in Marina, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.