Individual provider Active NPI

Philipp Ramon Melendez, M.D.

  • Obstetrics & Gynecology Physician
  • Bakersfield, CA
National Provider Identifier
1730162652
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A51130 Issued in CA
Practice address
3535 San Dimas St
Ste 14
Bakersfield, CA 93301-1661
Phone
(661) 325-7103
Fax
(661) 325-7132
NPI assigned
Nov 23, 2005
Last updated
Apr 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A51130 CA Primary

Addresses

Primary practice location

3535 San Dimas St
Ste 14
Bakersfield, CA 93301-1661

Mailing address

3535 San Dimas St
Ste 14
Bakersfield, CA 93301-1661
Phone (661) 325-7103

Other identifiers 1

IdentifierTypeStateIssuer
00A4511300MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051006000455 CA Practitioner - Obstetrics/Gynecology 8426073701 Practice locations: Bakersfield, CA

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3543 San Dimas St
Bakersfield, CA 93301-1605
Phone (661) 325-7103

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Past Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
California Dermatology Institute PC Past Accepting new patients
California Rheumatology Institute Inc Past Accepting new patients
San Joaquin Community Hospital Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 17

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Arvin Community Health CenterArvin, CA, CCN 551962 Federally qualified health center Corporate Officer May 1, 2019
South Bakersfield Community Health CenterBakersfield, CA, CCN 551964 Federally qualified health center Corporate Director May 1, 2019
Orange and Butler Community Health CenterFresno, CA, CCN 051149 Federally qualified health center Corporate Officer May 1, 2019
Elm Community Health CenterFresno, CA, CCN 051156 Federally qualified health center Corporate Director May 1, 2019
Frazier Mountain Community Health CenterLebec, CA, CCN 051839 Federally qualified health center Corporate Director May 1, 2019
East Bakersfield Community Health CenterBakersfield, CA, CCN 051840 Federally qualified health center Corporate Director May 1, 2019
Delano Community Health CenterDelano, CA, CCN 051974 Federally qualified health center Corporate Director May 1, 2019
Lamont Community Health CenterLamont, CA, CCN 051842 Federally qualified health center Corporate Director May 1, 2019
34TH Street Community Health CenterBakersfield, CA, CCN 051973 Federally qualified health center Corporate Director May 1, 2019
Central Bakersfield Community Health CenterBakersfield, CA, CCN 051975 Federally qualified health center Corporate Director May 1, 2019
Family Health CenterBakersfield, CA, CCN 551147 Federally qualified health center Corporate Director May 1, 2019
Greenfield Community Health CenterBakersfield, CA, CCN 751026 Federally qualified health center Corporate Director May 1, 2019
North Fine Community Health CenterFresno, CA, CCN 751050 Federally qualified health center Corporate Director May 1, 2019
Gaston Middle School Health and Wellness CenterFresno, CA, CCN 921062 Federally qualified health center Corporate Director May 1, 2019
East Niles Community Health CenterBakersfield, CA, CCN 751142 Federally qualified health center Corporate Officer May 1, 2019
Comprehensive Care CenterBakersfield, CA, CCN A01042 Federally qualified health center Corporate Director May 1, 2019
Blackstone Community Health CenterFresno, CA, CCN 051962 Federally qualified health center Corporate Director May 1, 2019

Owned or controlled facilities with NPI records 18

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 18

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333929600000",
    "number": "1730162652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 SAN DIMAS ST",
            "address_2": "STE 14",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011661",
            "telephone_number": "661-325-7103",
            "fax_number": "661-325-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 SAN DIMAS ST",
            "address_2": "STE 14",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011661",
            "telephone_number": "661-325-7103",
            "fax_number": "661-325-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ",
        "first_name": "PHILIPP",
        "middle_name": "RAMON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2012-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A51130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A4511300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.