Individual provider Active NPI

Melia Donald

  • Case Manager/Care Coordinator
  • Beaumont, CA
National Provider Identifier
1750992095
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
14700 Manzanita Rd
Beaumont, CA 92223-3026
Phone
(951) 845-3155
NPI assigned
Aug 11, 2020
Last updated
Mar 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X NU Primary
Behavior Technician 106S00000X CA

Addresses

Primary practice location

14700 Manzanita Rd
Beaumont, CA 92223-3026

Mailing address

14700 Manzanita Rd
Beaumont, CA 92223-3026
Phone (951) 845-3155

Other practice location 1

255 E Rincon St Ste 219
Corona, CA 92879-1387
Phone (213) 463-3901

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": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1750992095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14700 MANZANITA RD",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922233026",
            "telephone_number": "951-845-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14700 MANZANITA RD",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922233026",
            "telephone_number": "951-845-3155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 E Rincon St Ste 219",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928791387",
            "country_code": "US",
            "telephone_number": "213-463-3901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONALD",
        "first_name": "MELIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.