Active NPI
Melissa Ann Dickey, FNP
- Family Nurse Practitioner
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP14015
- Practice address
- 1245 16TH St Ste 110
Santa Monica, CA 90404-1240 - Phone
- (310) 301-6800
- NPI assigned
- Jun 4, 2009
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 765380 | NY | |
| Family Nurse Practitioner | 363LF0000X | 344173 | NY | |
| Family Nurse Practitioner | 363LF0000X | NP14015 | CA | Primary |
| Registered Nurse | 163W00000X | 594468 | CA |
Addresses
Primary practice location
1245 16TH St Ste 110
Santa Monica, CA 90404-1240
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice location 1
525 E 68th St # 99
New York, NY 10065-4870
Phone (212) 746-2821
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN594468 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090808000158 | CA | Practitioner - Nurse Practitioner | 2769535723 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- UCLA Radiology Medical Group
Practice addresses (Care Compare)
300 UCLA Medical PLZ
Suite B130
Los Angeles, CA 90095-8346
Phone (310) 206-0456
757 Westwood PLZ
Los Angeles, CA 90095-8358
Phone (310) 825-9111
Hospital & facility affiliations
- Santa Monica - UCLA Med Ctr & Orthopaedic Hospital
- Ronald Reagan UCLA Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 765380 | NY | MD | Registered Nurse |
| NP14015 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UCLA Radiology Medical Group | Current | Accepting new patients | |
| University of California San Francisco Medical Center | Past | Accepting new patients | |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients | |
| Cornell University Medical College | Past | Accepting new patients |
Locations
2400 Bahamas Dr
Bakersfield, CA 93309
Phone (661) 328-2333
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
300 UCLA Medical Plz
Ste B130
Los Angeles, CA 90095
Phone (310) 206-0456
1250 16th St
Santa Monica, CA 90404
Phone (310) 301-8695
1245 16th St
Ste 110
Santa Monica, CA 90404
Phone (310) 319-4033
100 Moody Ct
Thousand Oaks, CA 91360
Phone (805) 418-3500
Interoperability endpoints
- mdickey60350@direct.uclahealth.org
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.
-
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1952308363
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1144325440
-
- Psychologist
- White Plains, NY
- NPI 1528084910
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1427055839
Hospital
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1902803315
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752796800000",
"number": "1568698447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 16TH ST STE 110",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904041240",
"telephone_number": "310-301-6800"
}
],
"practiceLocations": [
{
"address_1": "525 E 68th St # 99",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100654870",
"country_code": "US",
"telephone_number": "212-746-2821",
"fax_number": "212-746-8881",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DICKEY",
"first_name": "MELISSA",
"middle_name": "ANN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-04",
"last_updated": "2025-07-18",
"certification_date": "2025-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "765380",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "344173",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP14015",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "594468",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RN594468",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.