Individual provider Active NPI

Melissa Marie Radcliff, MSN, RN, ACNP-BC

  • Gerontology Nurse Practitioner
  • Whittier, CA
National Provider Identifier
1497264717
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
950007157 Issued in CA
Practice address
12401 Washington Blvd
Whittier, CA 90602-1006
Phone
(562) 789-5401
NPI assigned
Sep 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 950007157 CA Primary

Addresses

Primary practice location

12401 Washington Blvd
Whittier, CA 90602-1006

Mailing address

7114 E Stearns St
Long Beach, CA 90815-2434
Phone (562) 685-4570

Other practice location 1

710 Westwood Plz Ste 1230
Los Angeles, CA 90095-8353
Phone (310) 825-5321

Other practice location 2

710 Westwood Plz Ste 1230
Los Angeles, CA 90095-8353
Phone (310) 825-5321

Other practice location 3

300 Medical Plaza # B200
Los Angeles, CA 90095-8353
Phone (310) 794-1195

Other names 1

  • Melissa Marie Gonzales Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melissa.radcliff@pihhealth.org Health Information Exchange (HIE) PIH

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
I20171107002915 CA Practitioner - Nurse Practitioner 2466718457 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians

Practice addresses (Care Compare)

12401 Washington Blvd
Suite 100
Whittier, CA 90602-1006
Phone (562) 967-2885

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
950007157CAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians CurrentSince Nov 1, 2020 Accepting new patients
Pih Health Physicians CurrentSince Nov 1, 2020 Accepting new patients
Pih Health Physicians Current Accepting new patients
Global Transitional Care, LLC CurrentSince Nov 4, 2019 Accepting new patients

Locations

2 Executive Cir
Ste 100
Irvine, CA 92614
Phone (949) 668-3277

5161 California Ave
Ste 200
Irvine, CA 92617
Phone (949) 543-0124

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

12401 Washington Blvd
Ste 100
Whittier, CA 90602
Phone (562) 967-2885

12401 Washington Blvd
Whittier, CA 90602
Phone (562) 698-0611

Interoperability endpoints

  • Direct secure messaging: melissaradcliff@pihh.allscriptsdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1497264717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7114 E STEARNS ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908152434",
            "telephone_number": "562-685-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 WASHINGTON BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021006",
            "telephone_number": "562-789-5401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 Westwood Plz Ste 1230",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900958353",
            "country_code": "US",
            "telephone_number": "310-825-5321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "710 Westwood Plz Ste 1230",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900958353",
            "country_code": "US",
            "telephone_number": "310-825-5321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Medical Plaza # B200",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900958353",
            "country_code": "US",
            "telephone_number": "310-794-1195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADCLIFF",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MSN, RN, ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-29",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "950007157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melissa.radcliff@pihhealth.org",
            "affiliation": "Y",
            "endpointDescription": "cell",
            "affiliationName": "PIH",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12401 Washington Blvd",
            "city": "Whittier",
            "state": "CA",
            "country_code": "US",
            "postal_code": "906021006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "GONZALES",
            "middle_name": "MARIE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.