Michelle Lynn Melendez, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A92583 Issued in CA

Practice address

233 W. Cole Blvd
Calexico, CA 92231

Phone

(760) 357-2020

Fax

(760) 357-1056

NPI assigned

Dec 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric Medicine

Education

George Washington University School of Medicine, 2000

Medicare assignment

May accept Medicare assignment

Group practices

Clinicas de Salud del Pueblo IncGroup PAC ID 5496657082, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michelle.melendez.p1@direct.cdsdp.nextgenshare.com

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.

• Clinicas de Salud del Pueblo, Inc

  dba Innercare

  • Federally Qualified Health Center (FQHC)
  • El Centro, CA
  • NPI 1346313889
  Medicare reassignment Care Compare group NPD
• Clinicas de Salud del Pueblo Inc.

  dba InnerCare Pharmacy

  • Community/Retail Pharmacy
  • El Centro, CA
  • NPI 1962045872
  NPD
• Clinicas de Salud del Pueblo, Inc.

  dba Innercare

  • Federally Qualified Health Center (FQHC)
  • Brawley, CA
  • NPI 1649269747
  NPD
• Clinicas de Salud del Pueblo, Inc

  dba Innercare

  • Federally Qualified Health Center (FQHC)
  • El Centro, CA
  • NPI 1487741773
  NPD (past)
• Clinicas de Salud del Pueblo, Inc.

  dba Innercare

  • Federally Qualified Health Center (FQHC)
  • Winterhaven, CA
  • NPI 1124109202
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851457725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 W. COLE BOULEVARD",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "92231",
            "telephone_number": "760-357-2020",
            "fax_number": "760-357-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 W. COLE BLVD",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "92231",
            "telephone_number": "760-357-2020",
            "fax_number": "760-357-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A92583",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "MD2004-0635",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sayra Matias
• Kimberly Maya
• Cova Lynn McNally, CATC-I
• Medical Supply Depot 2, Inc.
• Angela Marie Melendez, CAODC-6781
• Ivan Armando Mendoza, EMT-P, PSGT
• Mervat G. Kelada, M.D. (De Anza Urgent Care)
• Mervat Kelada M D a Medical Corporation (De Anza Clinic)
• Gary David Metelski
• Mexpro Dent

• Pediatrics Physician in Calexico, CA
• Providers in Calexico, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.