Active NPI
Melinda Jezierski, M.D.
- Family Medicine Physician
- Santa Maria, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A120150
- Practice address
- 915 E Stowell Rd
Suite B
Santa Maria, CA 93454-7009 - Phone
- (805) 938-7444
- NPI assigned
- May 10, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A120150 | CA | Primary |
| Family Medicine Physician | 207Q00000X | M9381 | TX |
Addresses
Primary practice location
915 E Stowell Rd
Suite B
Santa Maria, CA 93454-7009
Mailing address
915 E Stowell Rd
Suite B
Santa Maria, CA 93454-7009
Phone (805) 938-7444
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Texas a & M University System, HSC, College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
915 E Stowell Rd B
Santa Maria, CA 93454-7010
Phone (805) 938-7444
Hospital & facility affiliations
- Central Coast Home Health Inc
- Dignity Health Home Health
- Marian Regional Medical Center
- French Hospital Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 86 |
| Removal or shaving of skin growth | 30 |
| Skin biopsy | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A120150 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Coast Family Care Medical Associates, Inc | Family Medicine | Current | Accepting new patients |
| Central Coast Family Care Medical Associates, Inc. | Family Medicine | Current | Accepting new patients |
| Central Coast Family Care Medical Associates, Inc | Family Medicine | Current | Accepting new patients |
Locations
821 E Chapel St
Ste 203
Santa Maria, CA 93454
Phone (805) 354-5200
915 E Stowell Rd
Ste B
Santa Maria, CA 93454
Phone (805) 938-7424
355 Daniel Dr
Ste 105
Santa Maria, CA 93454
Phone (805) 937-3368
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Santa Maria, CA
- NPI 1881882611
-
- Family Medicine Physician
- Santa Maria, CA
- NPI 1215125042
-
- Family Medicine Physician
- Santa Maria, CA
- NPI 1093467730
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- San Luis Obispo, CA
- NPI 1609044924
-
- General Acute Care Hospital
- San Luis Obispo, CA
- NPI 1881760452
-
- Home Health Agency
- Santa Maria, CA
- NPI 1225184963
-
- General Acute Care Hospital
- Santa Maria, CA
- NPI 1760510937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403136000000",
"number": "1487868154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 E STOWELL RD",
"address_2": "SUITE B",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934547009",
"telephone_number": "805-938-7444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 E STOWELL RD",
"address_2": "SUITE B",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934547009",
"telephone_number": "805-938-7444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEZIERSKI",
"first_name": "MELINDA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2014-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A120150",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "M9381",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.