Organization Active NPI

Melchior Peter Vallone

  • Foot & Ankle Surgery Podiatrist
  • La Mesa, CA
National Provider Identifier
1578660684
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E2201 Issued in CA
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

Updated by the provider on Jul 13, 2011

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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
000E22010MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.