Individual provider Active NPI

Melissa Marie Gilbert, PA-C

  • Medical Physician Assistant
  • San Diego, CA
National Provider Identifier
1760631170
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
19922 Issued in CA
Practice address
3750 Convoy St Ste 155
San Diego, CA 92111-3739
Phone
(858) 736-9900
Fax
(858) 736-0661
NPI assigned
Sep 10, 2008
Last updated
Mar 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X CA
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X 19922 CA Primary

Addresses

Primary practice location

3750 Convoy St Ste 155
San Diego, CA 92111-3739

Mailing address

3750 Convoy St Ste 155
San Diego, CA 92111-3739
Phone (858) 736-9900

Other practice location 1

360 San Miguel Dr Ste 406
Newport Beach, CA 92660
Phone (949) 683-8870

Other practice location 2

1441 Avocado Ave
Suite 806
Newport Beach, CA 92660-7721
Phone (949) 718-1222

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130808000214 CA Practitioner - Physician Assistant 3779725437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maven Dermatology ApcGroup PAC ID 8628431020, 3 clinicians

Practice addresses (Care Compare)

3750 Convoy St
Suite 155
San Diego, CA 92111-3739
Phone (858) 736-9900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sharp Memorial Hospital PastSince Mar 30, 2025 Accepting new patients
J. Robert West, M.D., Inc Single Specialty Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: melisgilbert@torreypinesderm.emadirect.md

Organizations & group practices 3

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": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1760631170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 CONVOY ST STE 155",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113739",
            "telephone_number": "858-736-9900",
            "fax_number": "858-736-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 CONVOY ST STE 155",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113739",
            "telephone_number": "858-736-9900",
            "fax_number": "858-736-0661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 San Miguel Dr Ste 406",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "92660",
            "country_code": "US",
            "telephone_number": "949-683-8870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1441 Avocado Ave",
            "address_2": "Suite 806",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926607721",
            "country_code": "US",
            "telephone_number": "949-718-1222",
            "fax_number": "949-718-1220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "19922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.