Individual provider Active NPI

Minas Mike Melidonian, M.D

  • Hospitalist Physician
  • Glendale, CA
National Provider Identifier
1518254457
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A130090 Issued in CA
Practice address
1509 Wilson Ter
Glendale, CA 91206-4007
Phone
(323) 485-4224
NPI assigned
Jun 29, 2011
Last updated
Oct 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301098205 MI
Hospitalist Physician 208M00000X A130090 CA Primary

Addresses

Primary practice location

1509 Wilson Ter
Glendale, CA 91206-4007

Mailing address

1509 Wilson Ter
Glendale, CA 91206-4007
Phone (323) 485-4224

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140812002601 CA Practitioner - HospitalistPractitioner - Internal Medicine 2264659481 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians
Hospitalist Group of Montebello IncGroup PAC ID 2264715143, 55 clinicians

Practice addresses (Care Compare)

1509 Wilson Ter
Glendale, CA 91206-4007
Phone (818) 409-8000

1701 Santa Anita Ave
S El Monte, CA 91733-3411
Phone (626) 579-7777

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301098205MIMDInternal Medicine Physician
A130090CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ca Hospital Hospitalist Medical Group Inc Hospitalist CurrentSince Jul 1, 2020 Accepting new patients
Im-FSR Inc. Hospitalist CurrentSince Jun 1, 2025 Accepting new patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Oct 11, 2021 Accepting new patients
Galen Inpatient Physicians Inc Internal Medicine CurrentSince Oct 11, 2021 Accepting new patients
Careconnectmd Ca PC CurrentSince Jun 23, 2022 Accepting new patients
Sunrise Medical Associates Inc Hospitalist CurrentSince Apr 1, 2023 Accepting new patients
Hospitalist Group of Montebello Inc Hospitalist CurrentSince Jul 1, 2023 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients

Locations

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

2185 Citracado Pkwy
#1182
Escondido, CA 92029
Phone (805) 473-7626

1255 Travis Blvd
Fairfield, CA 94533
Phone (707) 425-0623

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

2701 S Bristol St
Santa Ana, CA 92704
Phone (714) 636-0342

473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000

1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803

1701 Santa Anita Ave
South El Monte, CA 91733
Phone (626) 350-7916

1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1518254457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 WILSON TER",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064007",
            "telephone_number": "323-485-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 WILSON TER",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064007",
            "telephone_number": "323-485-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELIDONIAN",
        "first_name": "MINAS",
        "middle_name": "MIKE",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-29",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301098205",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A130090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.