Active NPI
Melanie Rose Zermeno, M.D.
- Psychiatry Physician
- Burbank, CA
National Provider Identifier
1447336748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A89032
- Practice address
- 2601 W. Alameda Ave.
Suite 414
Burbank, CA 91505 - Phone
- (818) 569-0237
- Fax
- (818) 845-5337
- NPI assigned
- Oct 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A89032 | CA | Primary |
Addresses
Primary practice location
2601 W. Alameda Ave.
Suite 414
Burbank, CA 91505
Mailing address
2601 W. Alameda Ave
Suite 414
Burbank, CA 91505
Phone (818) 569-0237
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A890320 | Medicaid | CA |
Other names 1
- Dr. Melanie Rose Zermeno
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2012 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A89032 | CA | MD | Psychiatry Physician |
| 89032 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394409600000",
"number": "1447336748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 W. ALAMEDA AVE",
"address_2": "SUITE 414",
"city": "BURBANK",
"state": "CA",
"postal_code": "91505",
"telephone_number": "818-569-0237",
"fax_number": "818-845-5337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 W. ALAMEDA AVE.",
"address_2": "SUITE 414",
"city": "BURBANK",
"state": "CA",
"postal_code": "91505",
"telephone_number": "818-569-0237",
"fax_number": "818-845-5337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZERMENO",
"first_name": "MELANIE",
"middle_name": "ROSE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-29",
"last_updated": "2014-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A89032",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A890320",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELANIE",
"last_name": "ZERMENO",
"middle_name": "ROSE",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.