Individual provider Active NPI

Melanie Adelina Arellano, C9991214

  • Student in an Organized Health Care Education/Training Program
  • Covina, CA
National Provider Identifier
1659598381
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
C9991214 Issued in CA
Practice address
17727 E Cypress St
Covina, CA 91722-2634
Phone
(626) 858-4921
Fax
(626) 858-4923
NPI assigned
Apr 20, 2007
Last updated
Apr 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X C9991214 CA
Student in an Organized Health Care Education/Training Program 390200000X C9991214 CA Primary

Addresses

Primary practice location

17727 E Cypress St
Covina, CA 91722-2634

Mailing address

453 S Indiana St
Los Angeles, CA 90063-3908
Phone (323) 266-7726

Other practice location 1

155 Bimini Pl
Los Angeles, CA 90004-5902
Phone (213) 388-5423

Other practice location 2

453 S Indiana St
Los Angeles, CA 90063-3908
Phone (323) 266-7726

Other practice location 3

3430 Cogswell Rd
El Monte, CA 91732-2785
Phone (626) 453-3406

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
C9991214CAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Social Model Recovery Systems, Inc. CurrentSince Jan 26, 2025 Accepting new patients
Los Angeles County Department of Public Health Current Accepting new patients
Social Model Recovery Systems, Inc. PastSince Feb 1, 2024 Accepting new patients
Social Model Recovery Systems, Inc. PastSince Feb 1, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: melaniearellano-socialmodel@lacsapc.netsmartdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1659598381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 S INDIANA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900633908",
            "telephone_number": "323-266-7726",
            "fax_number": "323-266-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17727 E CYPRESS ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917222634",
            "telephone_number": "626-858-4921",
            "fax_number": "626-858-4923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Bimini Pl",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900045902",
            "country_code": "US",
            "telephone_number": "213-388-5423",
            "fax_number": "213-388-5765",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "453 S Indiana St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900633908",
            "country_code": "US",
            "telephone_number": "323-266-7726",
            "fax_number": "323-266-7742",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3430 Cogswell Rd",
            "address_purpose": "LOCATION",
            "city": "El Monte",
            "state": "CA",
            "postal_code": "917322785",
            "country_code": "US",
            "telephone_number": "626-453-3406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARELLANO",
        "first_name": "MELANIE",
        "middle_name": "ADELINA",
        "name_prefix": "Ms.",
        "credential": "C9991214",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "C9991214",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "C9991214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.