Melanie Van Lieshout, P.A.-C.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA20802 Issued in CA

Practice address

334 S Patterson Ave
Suite 130
Santa Barbara, CA 93111-2400

Phone

(805) 681-1490

NPI assigned

Oct 16, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Melanie Overland Former name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Jeffrey R. Polito M.D. a Professional Corporation

  • Internal Medicine Physician
  • Santa Barbara, CA
  • NPI 1053452037
  Medicare reassignment
• Sansum Clinic

  • Ambulatory Surgical Clinic/Center
  • Santa Barbara, CA
  • NPI 1649296807
  NPD (past)
• Santa Barbara Cottage Hospital

  • General Acute Care Hospital
  • Santa Barbara, CA
  • NPI 1477554152
  NPD (past)

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444262400000",
    "number": "1578715918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 S PATTERSON AVE",
            "address_2": "SUITE 130",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112400",
            "telephone_number": "805-681-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 S PATTERSON AVE",
            "address_2": "SUITE 130",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931112400",
            "telephone_number": "805-681-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN LIESHOUT",
        "first_name": "MELANIE",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-16",
        "last_updated": "2015-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA20802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "OVERLAND",
            "credential": "P.A.-C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kari Dell Van Bebber Ramirez, LMFT
• Gary M Van Deventer, MD
• Valerie Victoria Van Hutton, PH.D.
• Eileen Van Koppen, PSYD, MFT
• Arthur Van Leuven, DPT
• Catherine Van Nostrand
• Leonard Green Van Nostrand II
• Eva Violet Van Prooyen, MA, MFT
• Alexander Micah Van Valen
• Jacob Van Wickle, D.C.

• Medical Physician Assistant in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.