Melissa Esther Acevedo
Individual provider Active NPI Registered Nurse · Oakland, CA
NPI 1558092403 · NPPES record last updated Jun 22, 2022
Key facts
- NPI
- 1558092403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 95154326 (CA)
- Practice address
- 3100 Telegraph Ave Ste 350
Oakland, CA 94609-3239 - Phone
- (800) 607-6377
- NPI assigned
- Jun 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Permanente Medical Group Inc
Practice addresses (Care Compare)
1425 S Main St
Walnut Creek, CA 94596-5318
Phone (925) 295-4000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260407001302 | CA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9436624566 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95154326 | CA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95154326 | CA | Yes |
Addresses
Primary practice location
3100 Telegraph Ave Ste 350
Oakland, CA 94609-3239
Mailing address
950 E 3Rd St Apt 2429
Los Angeles, CA 90013-2689
Phone (786) 718-4137
Other providers in Oakland, CA
- Fatima V Acevedo Quezada
- Sara Beatriz Acevedo Rodriguez
- Hannah Acevedo-Schiesel
- Kelsey Nicole Acevedo
- Melissa Acevedo
- Suzzy Achea
- Chelsea Kirstin Acker
- Kirsten Acker
- Clara Ackerman
- David Ackers
All providers in Oakland, CA · Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.