Jose Roberto Melendres, R.N.

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

RN763451 Issued in CA

Practice address

10196 Countryside Way
Sacramento, CA 95827-2463

Phone

(916) 476-1688

Fax

(916) 266-9423

NPI assigned

Nov 2, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1689126963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10196 COUNTRYSIDE WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272463",
            "telephone_number": "916-476-1688",
            "fax_number": "916-266-9423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10196 COUNTRYSIDE WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272463",
            "telephone_number": "916-476-1688",
            "fax_number": "916-266-9423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDRES",
        "first_name": "JOSE ROBERTO",
        "name_prefix": "Mr.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-02",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "RN763451",
            "primary": true
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "CA",
            "license": "10221411",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thanya Melchor
• Erick Melena
• Artemiza Melendez
• Cecilia Maria Melendez, AMFT
• Giselle M. Melendres, M.D.
• Joseph L Melendres, M.D.
• Sujey Melero
• Ivonne Judith Melgar, LCSW
• Martin Melicharek III, MD
• Bernadette Melick

• Case Management Registered Nurse in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Case Management Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.