Individual provider Active NPI

Melisa Kelley, PHARMD

  • Pharmacist
  • Pleasanton, CA
National Provider Identifier
1427577386
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
63901 Issued in CA
Practice address
5860 W Las Positas Blvd Ste 19
Pleasanton, CA 94588-8557
Phone
(925) 317-7960
Fax
(833) 543-0292
NPI assigned
Sep 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 63901 CA Primary

Addresses

Primary practice location

5860 W Las Positas Blvd Ste 19
Pleasanton, CA 94588-8557

Mailing address

507 Conejo CT
Danville, CA 94506-6203
Phone (510) 386-0703

Other names 1

  • Dr. Melisa Tong Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
63901CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kabafusion, LLC CurrentSince Dec 3, 2023 Accepting new patients
Kabafusion, Inc. PastSince Dec 3, 2023 Accepting new patients

Locations

5860 W Las Positas Blvd
Ste 19
Pleasanton, CA 94588
Phone (855) 434-4844

Organizations & group practices 2

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": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1427577386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 CONEJO CT",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945066203",
            "telephone_number": "510-386-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5860 W LAS POSITAS BLVD STE 19",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888557",
            "telephone_number": "925-317-7960",
            "fax_number": "833-543-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "MELISA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "63901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISA",
            "last_name": "TONG",
            "prefix": "DR.",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.