Active NPI
Melissa Mustafa, NP
- Family Nurse Practitioner
- Rancho Cucamonga, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95013294
- Practice address
- 10590 Town Center Dr
Rancho Cucamonga, CA 91730-0360 - Phone
- (909) 483-0000
- NPI assigned
- Nov 26, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95013294 | CA | Primary |
Addresses
Primary practice location
10590 Town Center Dr
Rancho Cucamonga, CA 91730-0360
Mailing address
2015 Sunnycreek CT
Upland, CA 91784-7930
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Anaheim, CA 92801
Phone (714) 273-7672
11845 W Olympic Blvd
Suite 1100
Los Angeles, CA 90064-1149
Phone (323) 435-5220
1703 Termino Ave
Suite 106
Long Beach, CA 90804-2126
Phone (562) 800-3321
9465 Wilshire Blvd
Suite 300
Beverly Hills, CA 90212-2624
Phone (310) 933-5688
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95013294 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wound Docs Apc | Current | Accepting new patients | |
| Wound Health Medical Ca PC | Family | Current | Accepting new patients |
| Marpeh Medical | Current | Accepting new patients | |
| Refael Medical, Inc. | Current | Accepting new patients | |
| Minghsun Liu, M.D., PC | Current | Accepting new patients | |
| Temima Healthcare | Current | Accepting new patients | |
| Perpetual Wound Rescue | Current | Accepting new patients | |
| Little Star Healthcare Little Star Pediatric Urgent Care | Past | Accepting new patients |
Locations
27141 Aliso Creek Rd
Ste 235
Aliso Viejo, CA 92656
Phone (562) 800-3321
1100 E Orangethorpe Ave
Ste 200R
Anaheim, CA 92801
Phone (714) 273-7672
9465 Wilshire Blvd
Ste 300
Beverly Hills, CA 90212
Phone (310) 796-7691
9171 Wilshire Blvd
Ste 300
Beverly Hills, CA 90210
8200 Wilshire Blvd
Ste 300
Beverly Hills, CA 90211
Phone (562) 309-1300
8200 Wilshire Blvd
Beverly Hills, CA 90211
Phone (310) 879-7167
1703 Termino Ave
Ste 106
Long Beach, CA 90804
Phone (310) 552-0146
11103 Venice Blvd
Los Angeles, CA 90034
Phone (310) 734-8526
25044 Peachland Ave
Ste 110
Santa Clarita, CA 91321
Organizations & group practices 9
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.
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- General Practice Physician
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- NPI 1891533600
-
- Internal Medicine Physician
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- NPI 1235921032
-
- Surgery Physician
- Aliso Viejo, CA
- NPI 1629891676
-
- Infectious Disease Physician
- Los Angeles, CA
- NPI 1518309368
-
- General Practice Physician
- Beverly Hills, CA
- NPI 1003502386
-
- General Practice Physician
- Beverly Hills, CA
- NPI 1245078054
-
- Public Health & General Preventive Medicine Physician
- Los Angeles, CA
- NPI 1942036520
Family
-
- Surgery Physician
- Los Angeles, CA
- NPI 1689543852
-
- Urgent Care Clinic/Center
- Rancho Cucamonga, CA
- NPI 1710330352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574726400000",
"number": "1639715477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2015 SUNNYCREEK CT",
"city": "UPLAND",
"state": "CA",
"postal_code": "917847930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10590 TOWN CENTER DR",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917300360",
"telephone_number": "909-483-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSTAFA",
"first_name": "MELISSA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-26",
"last_updated": "2019-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95013294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.