Individual provider Active NPI

Melissa Nicole Hall-Wilkins, D.V.M.

  • Veterinarian
  • Tustin, CA
National Provider Identifier
1720307077
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
16439 Issued in CA
Practice address
2965 Edinger Ave
Tustin, CA 92780-7256
Phone
(949) 936-0066
NPI assigned
May 26, 2010
Last updated
May 26, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 16439 CA Primary

Addresses

Primary practice location

2965 Edinger Ave
Tustin, CA 92780-7256

Mailing address

2965 Edinger Ave
Tustin, CA 92780-7256
Phone (949) 936-0066

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

NPI Registry JSON

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274832000000",
    "number": "1720307077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2965 EDINGER AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807256",
            "telephone_number": "949-936-0066",
            "fax_number": "949-936-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 EDINGER AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807256",
            "telephone_number": "949-936-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL-WILKINS",
        "first_name": "MELISSA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.V.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-26",
        "last_updated": "2010-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "CA",
            "license": "16439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.