Melia Grace Wells

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

41538 Issued in CA

Practice address

275 Baker St
Costa Mesa, CA 92626-4566

Phone

(714) 361-6760

NPI assigned

Dec 20, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1427760560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4607 HAMPDEN RD",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926253114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 BAKER ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264566",
            "telephone_number": "714-361-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "MELIA",
        "middle_name": "GRACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-20",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "41538",
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "41538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Lee Weiss
• Laura Adriana Weissenberg-Dickerson, M.A., BCBA
• Wel-Mor Psychological Group, Inc. (South Coast Counseling & Psychological Services)
• Michael Joseph Welcome, DDS
• Wellness by Design P.T.
• Sophia Jo Wells
• Misty Cain Welsh, MS
• Kenneth C Wen, MD
• Mimia Wen, OD
• Loressa Kathryn Wenger, DNP, APRN FNP-C

• Licensed Vocational Nurse in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.