Active NPI
Melissa Anne Gunderson, N.P., C.N.M.
- Obstetrics & Gynecology Nurse Practitioner
- San Diego, CA
National Provider Identifier
1497890479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 494382
- Practice address
- 3811 Valley Centre Dr
San Diego, CA 92130-3318 - Phone
- (858) 764-3280
- NPI assigned
- Feb 20, 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 494382 | CA | Primary |
| Advanced Practice Midwife | 367A00000X | 1362 | CA |
Addresses
Primary practice location
3811 Valley Centre Dr
San Diego, CA 92130-3318
Mailing address
File 54433
Los Angeles, CA 90074-0001
Other names 1
- Melissa Anne Marchant
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)
- Enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1362 | CA | MD | Massage Therapist |
| 494382 | CA | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Clinic Medical Group, Inc | Past | Accepting new patients | |
| Scripps Clinic Medical Group | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- San Diego, CA
- NPI 1124003280
-
- Radiation Oncology Physician
- San Diego, CA
- NPI 1073853180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245888000000",
"number": "1497890479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FILE 54433",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900740001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3811 VALLEY CENTRE DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921303318",
"telephone_number": "858-764-3280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNDERSON",
"first_name": "MELISSA",
"middle_name": "ANNE",
"credential": "N.P., C.N.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2009-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "CA",
"license": "494382",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "CA",
"license": "1362",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "MARCHANT",
"middle_name": "ANNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.