Individual provider Active NPI

Stephen R Melli, M.D.

  • Pediatrics Physician
  • El Monte, CA
National Provider Identifier
1437266921
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G45517 Issued in CA
Practice address
9320 Telstar Ave
Suite 226
El Monte, CA 91731-2834
Phone
(626) 569-6463
Fax
(626) 569-9347
NPI assigned
Aug 23, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G45517 CA Primary

Addresses

Primary practice location

9320 Telstar Ave
Suite 226
El Monte, CA 91731-2834

Mailing address

9320 Telstar Ave
Suite 226
El Monte, CA 91731-2834
Phone (626) 569-6463

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 Medicine

State licenses

LicenseStateTypeSpecialty
G45517CAMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437266921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9320 TELSTAR AVE",
            "address_2": "SUITE 226",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312834",
            "telephone_number": "626-569-6463",
            "fax_number": "626-569-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9320 TELSTAR AVE",
            "address_2": "SUITE 226",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312834",
            "telephone_number": "626-569-6463",
            "fax_number": "626-569-9347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLI",
        "first_name": "STEPHEN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G45517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.