Active NPI
Melissa Kristina Gastellum, N.D.
- Naturopath
- Walnut Creek, CA
National Provider Identifier
1689906711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- ND384
- Practice address
- 120 La Casa Via Ste 104
Walnut Creek, CA 94598-3094 - Phone
- (925) 939-0300
- Fax
- (925) 939-3181
- NPI assigned
- Jan 29, 2010
- Last updated
- Jul 18, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | ND384 | CA | Primary |
Addresses
Primary practice location
120 La Casa Via Ste 104
Walnut Creek, CA 94598-3094
Mailing address
1839B Ygnacio Valley Road
#393
Walnut Creek, CA 94598
Phone (510) 593-3751
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
| License | State | Type | Specialty |
|---|---|---|---|
| ND384 | CA | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563408000000",
"number": "1689906711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1839B YGNACIO VALLEY ROAD",
"address_2": "#393",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "94598",
"telephone_number": "510-593-3751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 LA CASA VIA STE 104",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945983094",
"telephone_number": "925-939-0300",
"fax_number": "925-939-3181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GASTELLUM",
"first_name": "MELISSA",
"middle_name": "KRISTINA",
"name_prefix": "Dr.",
"credential": "N.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-29",
"last_updated": "2019-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "ND384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.