Melvin Holland Jr., AGPCNP-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

NP95018201 Issued in CA

Practice address

6201 Whittier Blvd
Los Angeles, CA 90022-4661

Phone

(844) 227-7599

Fax

(855) 227-7599

NPI assigned

Oct 4, 2021

Last updated

Jan 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Geriheal PCGroup PAC ID 7416386800, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southern California Hospital at Hollywood Hospital, Hollywood, CA, CCN 050135
• East Los Angeles Doctors Hospital Hospital, Los Angeles, CA, CCN 050641
• Community Hospital of Huntington Park Hospital, Huntington Park, CA, CCN 050091

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25529/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Geriheal PC

  • Internal Medicine Physician
  • Bakersfield, CA
  • NPI 1760014120
  Medicare reassignment Care Compare group NPD
• Access Primary Care Physicians, Inc.

  dba AVA Health Partners

  • Family Medicine Physician
  • Whittier, CA
  • NPI 1750858510
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• CHHP Holdings II, LLC

  dba Community Hospital of Huntington Park

  • General Acute Care Hospital
  • Huntington Park, CA
  • NPI 1891059127
  Care Compare affiliation
• East la Doctors Hospital LP

  • Skilled Nursing Facility
  • Los Angeles, CA
  • NPI 1841477973

  Hospital

  Care Compare affiliation
• Eladh, LP

  dba East Los Angeles Doctors Hospital

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1417957473
  Care Compare affiliation
• Eladh, LP

  dba East Los Angeles Doctors Hospital

  • Skilled Nursing Facility
  • Los Angeles, CA
  • NPI 1720298326

  Hospital

  Care Compare affiliation
• Southern California Healthcare System, Inc

  dba Southern California Hospital at Hollywood, at Van Nuys, at Culver City

  • General Acute Care Hospital
  • Hollywood, CA
  • NPI 1023010113
  Care Compare affiliation

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1659043016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3471 BRAYTON AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074807",
            "telephone_number": "562-310-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900224661",
            "telephone_number": "844-227-7599",
            "fax_number": "855-227-7599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8540 S Sepulveda Blvd Ste 116",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900453819",
            "country_code": "US",
            "telephone_number": "562-310-9470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "MELVIN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-04",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "NP95018201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Precious Holland
• Gary Norman Holland, MD
• Jazzmine Holland
• Kevin W. Holland, MD
• Linda Holland, DC
• Miles Raymond Holland II, LCSW
• Barbara Erthal Smeral Hollander, RD, MD
• Daniel Hollander, MD
• David Avi Hollander, OD
• Edward Jack Hollander, RPH

• Adult Health Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.

Verify at the official NPI Registry.