Individual provider Active NPI

Horace Milano Mellon, M.D.

  • General Practice Physician
  • Inglewood, CA
National Provider Identifier
1669574802
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A30748 Issued in CA
Practice address
915 Myrtle Ave
Inglewood, CA 90301-4007
Phone
(310) 673-3133
Fax
(310) 373-4277
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A30748 CA Primary

Addresses

Primary practice location

915 Myrtle Ave
Inglewood, CA 90301-4007

Mailing address

915 Myrtle Ave
Inglewood, CA 90301-4007
Phone (310) 673-3133

Other identifiers 1

IdentifierTypeStateIssuer
A00307480MedicaidCA

Other names 1

  • Dr. H Milano Mellon Professional name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100119000593 CA Practitioner - Internal Medicine 8325180060 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Meharry Medical College School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

915 Myrtle Ave
Inglewood, CA 90301-4007
Phone (310) 673-3133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A30748CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Onclick Healthcare Incorporated CurrentSince Dec 2, 2020 Accepting new patients
Cedars-Sinai Medical Center PastSince Nov 16, 2009 Accepting new patients

Locations

4766 Park Granada
Ste 206B
Calabasas, CA 91302
Phone (818) 272-8260

2625 Townsgate Rd
Ste 330
Westlake Vlg, CA 91361
Phone (818) 272-8260

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: hmellon103287@direct.cshs.org

Organizations & group practices 3

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": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1669574802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 MYRTLE AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014007",
            "telephone_number": "310-673-3133",
            "fax_number": "310-373-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 MYRTLE AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014007",
            "telephone_number": "310-673-3133",
            "fax_number": "310-373-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLON",
        "first_name": "HORACE",
        "middle_name": "MILANO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A30748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A00307480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "H",
            "last_name": "MELLON",
            "middle_name": "MILANO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.