Individual provider Active NPI

Melynda Rae Myers-Mallory, NP

  • Family Nurse Practitioner
  • Temecula, CA
National Provider Identifier
1679898704
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7652 Issued in CA
Practice address
27450 Ynez Rd
100
Temecula, CA 92591-4671
Phone
(951) 383-4333
Fax
(951) 506-2361
NPI assigned
Mar 31, 2010
Last updated
Aug 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X NPF7652 CA
Family Nurse Practitioner 363LF0000X 7652 CA Primary

Addresses

Primary practice location

27450 Ynez Rd
100
Temecula, CA 92591-4671

Mailing address

27450 Ynez Rd Ste 100
Temecula, CA 92591-4649
Phone (951) 383-4333

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
I20201118000366 CA Practitioner - Nurse Practitioner 8224449566 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erik Lundquist MD IncGroup PAC ID 1052535721, 3 clinicians

Practice addresses (Care Compare)

27450 Ynez Rd
Suite 100
Temecula, CA 92591-4649
Phone 9513834333826

Merit-based Incentive Payment System (MIPS)

Final score
84.66 of 100Reported as group
Quality
97.25
Improvement activities
40
Cost
52.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7652CAMDMassage Therapist
NPF7652CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic Medical Group of Orange County Inc Family CurrentSince Aug 18, 2020 Accepting new patients
Erik Lundquist MD Inc CurrentSince Nov 16, 2020 Accepting new patients

Locations

11428 Kenyon Way
Rancho Cucamonga, CA 91701
Phone (909) 589-4098

921 Pacific Coast Hwy
Seal Beach, CA 90740
Phone (562) 598-0473

27450 Ynez Rd
Ste 100
Temecula, CA 92591
Phone (951) 302-6664

29610 Rancho California Rd
Temecula, CA 92591
Phone (951) 699-0192

33205 US Highway 79
Temecula, CA 92592
Phone (951) 303-3154

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCIFBD

Organizations & group practices 2

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": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1679898704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27450 YNEZ RD STE 100",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914649",
            "telephone_number": "951-383-4333",
            "fax_number": "951-506-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27450 YNEZ RD",
            "address_2": "100",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914671",
            "telephone_number": "951-383-4333",
            "fax_number": "951-506-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS-MALLORY",
        "first_name": "MELYNDA",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-31",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "NPF7652",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "7652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.