Individual provider Active NPI

Robert Melikian, M.D.

  • Internal Medicine Physician
  • Los Alamitos, CA
National Provider Identifier
1811931017
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A49371 Issued in CA
Practice address
3801 Katella Ave
Los Alamitos, CA 90720-3369
Phone
(562) 594-8149
Fax
(562) 493-4529
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A49371 CA Primary

Addresses

Primary practice location

3801 Katella Ave
Los Alamitos, CA 90720-3369

Mailing address

3801 Katella Ave
Los Alamitos, CA 90720-3369
Phone (562) 594-8149

Other identifiers 1

IdentifierTypeStateIssuer
00A493710MedicaidCA

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
I20100929000155 CA Practitioner - Internal Medicine 5294851101 Practice locations: Los Alamitos, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3801 Katella Ave
Suite 321
Los Alamitos, CA 90720-3369
Phone (562) 594-8149

Hospital & facility affiliations

  • Charity Home Health Services Home health agency, Torrance, CA, CCN 557799
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348
  • Kindred Hospital Westminster Long-term care hospital, Westminster, CA, CCN 052035

Merit-based Incentive Payment System (MIPS)

Final score
25.9 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
86.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A49371CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anaheim Memorial Medical Center Past Accepting new patients
St Jude Hospital Inc Past Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1811931017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 KATELLA AVE",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203369",
            "telephone_number": "562-594-8149",
            "fax_number": "562-493-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 KATELLA AVE",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203369",
            "telephone_number": "562-594-8149",
            "fax_number": "562-493-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELIKIAN",
        "first_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A49371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A493710",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.