Individual provider Active NPI

Ashok N Melvani, MD

  • Family Medicine Physician
  • Victorville, CA
National Provider Identifier
1447334099
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C43029 Issued in CA
Practice address
12677 Hesperia Rd
Ste #140
Victorville, CA 92395-7735
Phone
(760) 962-1150
Fax
(760) 962-1155
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C43029 CA Primary

Addresses

Primary practice location

12677 Hesperia Rd
Ste #140
Victorville, CA 92395-7735

Mailing address

12677 Hesperia Rd
Ste #140
Victorville, CA 92395-7735
Phone (760) 962-1150

Other identifiers 1

IdentifierTypeStateIssuer
00C430290MedicaidCA

Other names 1

  • Ashok N Melvani Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110107000829 CA Practitioner - Family Practice 0244429181 Practice locations: Victorville, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12677 Hesperia Rd
Victorville, CA 92395-7735
Phone (760) 962-1150

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C43029CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary Medical Center Past Accepting new patients

Organizations & group practices 1

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1447334099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12677 HESPERIA RD",
            "address_2": "STE #140",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957735",
            "telephone_number": "760-962-1150",
            "fax_number": "760-962-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12677 HESPERIA RD",
            "address_2": "STE #140",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957735",
            "telephone_number": "760-962-1150",
            "fax_number": "760-962-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELVANI",
        "first_name": "ASHOK",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C43029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C430290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHOK",
            "last_name": "MELVANI",
            "middle_name": "N",
            "credential": "MD INC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Victorville, CA

Sources for this page

Verify at the official NPI Registry.