Individual provider Active NPI

Hiwot Assefa Melka, D.C

  • Chiropractor
  • Whittier, CA
National Provider Identifier
1699134536
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33484 Issued in CA
Practice address
16200 Amber Valley Dr
Primary Spine Care Resident
Whittier, CA 90604-4051
Phone
(562) 943-7125
NPI assigned
Feb 21, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33484 CA Primary
Chiropractor 111N00000X 6163 MN

Addresses

Primary practice location

16200 Amber Valley Dr
Primary Spine Care Resident
Whittier, CA 90604-4051

Mailing address

16200 Amber Valley Dr
Whittier, CA 90604-4051
Phone (562) 943-7125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160405001754 CA Practitioner - Chiropractic 9739486820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California University of Health SciencesGroup PAC ID 9537073945, 4 clinicians

Practice addresses (Care Compare)

16200 Amber Valley Dr
Whittier, CA 90604-4051
Phone (562) 943-7125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6163MNMDChiropractor
33484CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California University of Health Sciences Chiropractor CurrentSince Mar 1, 2016 Accepting new patients

Locations

16200 Amber Valley Dr
Bldg T
Whittier, CA 90604

16200 Amber Valley Dr
Whittier, CA 90604
Phone (562) 943-7125

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: hiwot.melka.1@29676.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1699134536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16200 AMBER VALLEY DR",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906044051",
            "telephone_number": "562-943-7125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16200 AMBER VALLEY DR",
            "address_2": "PRIMARY SPINE CARE RESIDENT",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906044051",
            "telephone_number": "562-943-7125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELKA",
        "first_name": "HIWOT",
        "middle_name": "ASSEFA",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-21",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33484",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6163",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.