Melanie a. Farrell, M.D., a Professional Medical Corporation

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

G61110 Issued in CA

Legal business name

MELANIE A. FARRELL, M.D., A PROFESSIONAL MEDICAL CORPORATION

Practice address

9834 Genesee Ave
Suite 312
La Jolla, CA 92037-1223

Phone

(858) 558-7852

Fax

(858) 558-7601

NPI assigned

Feb 20, 2007

Last updated

Jan 4, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melanie A. Farrell, M.D.NPI 1144322850

Title

President

Phone

(858) 558-7852

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melanie A. Farrell, M.D.

  • Nephrology Physician
  • La Jolla, CA
  • NPI 1144322850
  Authorized official Same address or phone

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1689719551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVE",
            "address_2": "SUITE 312",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371223",
            "telephone_number": "858-558-7852",
            "fax_number": "858-558-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVE",
            "address_2": "SUITE 312",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371223",
            "telephone_number": "858-558-7852",
            "fax_number": "858-558-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELANIE A. FARRELL, M.D., A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-558-7852",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G61110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G611100",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G611100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Anne Meier, PH.D.
• Alexander Sullivan Meilan, DO
• Anh Nguyen Meinert, PHARMD
• Jay William Meisner
• Antonie Meixel, M.D.
• Martine Melillo
• Melissa Minger DMD Inc (Seaside Dental)
• Loren K. Mell, M.D.
• Monte Tim Mellon, M.D. M.B.A.
• Melvin L. Selzer, MD, Inc

• Nephrology Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.