Melanie Marie Glover, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA61291 Issued in CA

Practice address

7625 Mesa College Dr Ste 200a
San Diego, CA 92111-5343

Phone

(858) 223-2172

NPI assigned

Jul 5, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Zachary C Cohen MD ApcGroup PAC ID 6608260179, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Active Health Services Home health agency, San Diego, CA, CCN 059672

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: californiapain.melanieglover@161491.advancedmd-direct.com

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.

• Zachary C Cohen MD Apc

  • Pain Medicine Physician
  • San Diego, CA
  • NPI 1689334468
  Medicare reassignment Care Compare group
• Brenton D. Wynn, MD Inc

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • National City, CA
  • NPI 1598953960
  NPD
• Zachary C Cohen MD Apc

  • Interventional Pain Medicine Physician
  • San Diego, CA
  • NPI 1790589570
  NPD

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

• Medi-Art Home Health Care, Inc.

  • Home Health Agency
  • San Diego, CA
  • NPI 1598174104
  Care Compare affiliation

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1851024046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 FLEETWOOD TER",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142214469",
            "telephone_number": "716-425-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 MESA COLLEGE DR STE 200A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921115343",
            "telephone_number": "858-223-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "MELANIE",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA61291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Joseph Gloude, MD
• Abigail Glover
• Glenn E Glover, RPH
• Joanna Glover
• Kyle C Glover, PSYD
• Rachel Francesca Glovinsky
• Krystal Glowack
• Glowtox Aesthetics
• Gary Stephen Gluck, M.D.
• Linda Glynn

• Medical Physician Assistant in San Diego, CA
• Providers in San Diego, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.