Active NPI
Melchior Peter Vallone
- Foot & Ankle Surgery Podiatrist
- La Mesa, CA
National Provider Identifier
1578660684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E2201
- Legal business name
- MELCHIOR PETER VALLONE
- Practice address
- 5129 Garfield St
La Mesa, CA 91941-5103 - Phone
- (619) 465-3200
- Fax
- (619) 465-3700
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Melchior Peter Vallone, D.P.M.
- Title
- Owner
- Phone
- (619) 465-3200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E2201 | CA | Primary |
Addresses
Primary practice location
5129 Garfield St
La Mesa, CA 91941-5103
Mailing address
5129 Garfield St
La Mesa, CA 91941-5103
Phone (619) 465-3200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E22010 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
5129 Garfield St
La Mesa, CA 91941
Phone (619) 464-5174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1310515200000",
"number": "1578660684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5129 GARFIELD ST",
"city": "LA MESA",
"state": "CA",
"postal_code": "919415103",
"telephone_number": "619-465-3200",
"fax_number": "619-465-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5129 GARFIELD ST",
"city": "LA MESA",
"state": "CA",
"postal_code": "919415103",
"telephone_number": "619-465-3200",
"fax_number": "619-465-3700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MELCHIOR PETER VALLONE",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2011-07-13",
"status": "A",
"authorized_official_last_name": "VALLONE",
"authorized_official_first_name": "MELCHIOR",
"authorized_official_middle_name": "PETER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "619-465-3200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E2201",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000E22010",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.