Active NPI
Sara Mellum, PA
- Physician Assistant
- Willows, CA
National Provider Identifier
1457873838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 263 N Villa Ave
Willows, CA 95988-2607 - Phone
- (530) 934-8700
- NPI assigned
- Jul 7, 2017
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
263 N Villa Ave
Willows, CA 95988-2607
Mailing address
19 Ilahee LN
Chico, CA 95973-7205
Phone (530) 487-7111
Other practice location 1
19 Ilahee Ln
Chico, CA 95973-7205
Phone (530) 487-7111
Other names 1
- Sara Vallelunga
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
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785715200000",
"number": "1457873838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 ILAHEE LN",
"city": "CHICO",
"state": "CA",
"postal_code": "959737205",
"telephone_number": "530-487-7111",
"fax_number": "530-487-7122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 N VILLA AVE",
"city": "WILLOWS",
"state": "CA",
"postal_code": "959882607",
"telephone_number": "530-934-8700"
}
],
"practiceLocations": [
{
"address_1": "19 Ilahee Ln",
"address_purpose": "LOCATION",
"city": "Chico",
"state": "CA",
"postal_code": "959737205",
"country_code": "US",
"telephone_number": "530-487-7111",
"fax_number": "530-487-7122",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MELLUM",
"first_name": "SARA",
"name_prefix": "Miss",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-07",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARA",
"last_name": "VALLELUNGA",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Willows, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.