Individual provider Active NPI

Melissa Mustafa, NP

  • Family Nurse Practitioner
  • Rancho Cucamonga, CA
National Provider Identifier
1639715477
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95013294 Issued in CA
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

Updated by the provider on Nov 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200917002623 CA Practitioner - Nurse Practitioner 5294153532 Reassigns benefits to 8 organizations

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
Perpetual Wound RescueGroup PAC ID 3274034350, 9 clinicians
Wound Docs ApcGroup PAC ID 2860928629, 23 clinicians
Marpeh MedicalGroup PAC ID 0042751331, 3 clinicians

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

LicenseStateTypeSpecialty
95013294CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Docs Apc CurrentSince Jul 9, 2025 Accepting new patients
Wound Health Medical Ca PC Family CurrentSince Jun 1, 2025 Accepting new patients
Marpeh Medical CurrentSince Aug 17, 2024 Accepting new patients
Refael Medical, Inc. CurrentSince Feb 13, 2025 Accepting new patients
Minghsun Liu, M.D., PC CurrentSince Jan 23, 2023 Accepting new patients
Temima Healthcare CurrentSince Feb 10, 2025 Accepting new patients
Perpetual Wound Rescue CurrentSince Sep 1, 2025 Accepting new patients
Little Star Healthcare Little Star Pediatric Urgent Care PastSince Dec 1, 2019 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.

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

Verify at the official NPI Registry.