Individual provider Active NPI

Melinda Melmoth

  • Specialist
  • Beverly Hills, CA
National Provider Identifier
1639804271
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
L9700 Issued in CA
Practice address
450 N Bedford Dr Ste 200
Beverly Hills, CA 90210-4306
Phone
(310) 550-5566
NPI assigned
Jul 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X L9700 CA Primary

Addresses

Primary practice location

450 N Bedford Dr Ste 200
Beverly Hills, CA 90210-4306

Mailing address

450 N Bedford Dr Ste 200
Beverly Hills, CA 90210-4306
Phone (310) 550-5566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L9700CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dana Elise Solutions Specialist PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

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": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1639804271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N BEDFORD DR STE 200",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104306",
            "telephone_number": "310-550-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N BEDFORD DR STE 200",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104306",
            "telephone_number": "310-550-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELMOTH",
        "first_name": "MELINDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "L9700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.