Active NPI
Melissa Nadia Sawaya, PA
- Physician Assistant
- Redlands, CA
National Provider Identifier
1841918125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 61477
- Practice address
- 2 W Fern Ave
Redlands, CA 92373-5916 - Phone
- (909) 793-3311
- NPI assigned
- Aug 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 61477 | CA | Primary |
Addresses
Primary practice location
2 W Fern Ave
Redlands, CA 92373-5916
Mailing address
PO Box 10069
San Bernardino, CA 92423-0069
Phone (909) 335-4188
Other practice location 1
236 Cajon St Ste A
Redlands, CA 92373-5202
Phone (909) 884-2553
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61477 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaver Medical Group P C | Current | Accepting new patients | |
| Beaver Medical Group P C | Current | Accepting new patients | |
| Beaver Medical Group P C | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Loma Linda University Medical Center | Past | Accepting new patients |
Locations
2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137
2 W Fern Ave
#1112
Redlands, CA 92373
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Redlands, CA
- NPI 1649503319
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1790344869
-
- Physical Therapist
- Redlands, CA
- NPI 1427090281
-
- Family Medicine Physician
- Redlands, CA
- NPI 1275570830
-
- General Acute Care Hospital
- San Bernardino, CA
- NPI 1689769911
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664236800000",
"number": "1841918125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10069",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924230069",
"telephone_number": "909-335-4188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 W FERN AVE",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923735916",
"telephone_number": "909-793-3311"
}
],
"practiceLocations": [
{
"address_1": "236 Cajon St Ste A",
"address_purpose": "LOCATION",
"city": "Redlands",
"state": "CA",
"postal_code": "923735202",
"country_code": "US",
"telephone_number": "909-884-2553",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAWAYA",
"first_name": "MELISSA",
"middle_name": "NADIA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-22",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "61477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.