Organization Active NPI

Melina B. Jampolis MD a Proffessional Corporation

  • Internal Medicine Physician
  • Valley Village, CA
National Provider Identifier
1831582873
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MELINA B. JAMPOLIS MD A PROFFESSIONAL CORPORATION
Practice address
12526 Riverside Dr
Valley Village, CA 91607-3409
Phone
(818) 985-2559
Fax
(818) 985-4459
NPI assigned
Mar 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Authorized official

Name
Mrs. Melina Jampolis, M.D.NPI 1942593116
Title
President
Phone
(818) 985-2559

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

12526 Riverside Dr
Valley Village, CA 91607-3409

Mailing address

4540 Simpson Ave
Studio City, CA 91607-4135
Phone (818) 392-8644

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1831582873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 SIMPSON AVE",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916074135",
            "telephone_number": "818-392-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12526 RIVERSIDE DR",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073409",
            "telephone_number": "818-985-2559",
            "fax_number": "818-985-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELINA B. JAMPOLIS MD A PROFFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-16",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "JAMPOLIS",
        "authorized_official_first_name": "MELINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-985-2559",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; 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.