Individual provider Active NPI

Melanie Ikhtiari, FNP-C

  • Family Nurse Practitioner
  • Mission Viejo, CA
National Provider Identifier
1467276303
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95032787 Issued in CA
Practice address
27758 Santa Margarita Pkwy # 7038
Mission Viejo, CA 92691-6709
Phone
(702) 501-9844
NPI assigned
Nov 7, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95032787 CA Primary

Addresses

Primary practice location

27758 Santa Margarita Pkwy # 7038
Mission Viejo, CA 92691-6709

Mailing address

27758 Santa Margarita Pkwy # 7038
Mission Viejo, CA 92691-6709

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260410000116 CA Practitioner - Nurse Practitioner 8224503925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2570 Lynn Rd
Chappell Hill, TX 77426-2800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95032787CAMDFamily Nurse Practitioner

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": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1467276303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27758 SANTA MARGARITA PKWY # 7038",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27758 SANTA MARGARITA PKWY # 7038",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916709",
            "telephone_number": "702-501-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKHTIARI",
        "first_name": "MELANIE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95032787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.