Organization Active NPI

Melissa Duncanson MD Inc

  • Obstetrics & Gynecology Physician
  • San Mateo, CA
National Provider Identifier
1558933911
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
MELISSA DUNCANSON MD INC
Practice address
136 N San Mateo Dr Ste 101
San Mateo, CA 94401-2779
Phone
(650) 344-1114
NPI assigned
Jul 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Authorized official

Name
Melissa Ellen Duncanson, MD
Title
Physician
Phone
(650) 867-0669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

136 N San Mateo Dr Ste 101
San Mateo, CA 94401-2779

Mailing address

136 N San Mateo Dr Ste 101
San Mateo, CA 94401-2779
Phone (650) 344-1114

National Provider Directory

National Provider Directory

Locations

136 N San Mateo Dr
Ste 101
San Mateo, CA 94401
Phone (650) 344-1114

NPI Registry JSON

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1558933911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 N SAN MATEO DR STE 101",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012779",
            "telephone_number": "650-344-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 N SAN MATEO DR STE 101",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012779",
            "telephone_number": "650-344-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA DUNCANSON MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "DUNCANSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "650-867-0669",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.