Melissa Przeklasa Auth MD Professional Corporation

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

A94129 Issued in CA

Legal business name

MELISSA PRZEKLASA AUTH MD PROFESSIONAL CORPORATION

Doing business as

Orange County Child Neurology

Practice address

30131 Town Center Dr
195
Laguna Niguel, CA 92677-2034

Phone

(949) 495-6100

Fax

(949) 354-0612

NPI assigned

Feb 6, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Melissa Joy Przeklasa Auth, MD

Title

Owner/Physician

Phone

(949) 495-6100

Specialties & licenses 1

Addresses

Other names 1

• Orange County Child Neurology Doing business as

Tax ID family

Melissa Przeklasa Auth MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Melissa Przeklasa Auth MD Professional Corporation

  • Neurology with Special Qualifications in Child Neurology Physician
  • Laguna Niguel, CA
  • NPI 1316387830
  NPD tax ID

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1861764854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30131 TOWN CENTER DR",
            "address_2": "195",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772034",
            "telephone_number": "949-495-6100",
            "fax_number": "949-354-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30131 TOWN CENTER DR",
            "address_2": "195",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772034",
            "telephone_number": "949-495-6100",
            "fax_number": "949-354-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA PRZEKLASA AUTH MD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-06",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "PRZEKLASA AUTH",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "949-495-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "CA",
            "license": "A94129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orange County Child Neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yasna Mehrabani, PA-C
• Vinay Mehta, M.D.
• Juan Alberto Mejia, PTA
• Kerry Melachouris, RN PMHNP STUDENT
• Melissa Przeklasa Auth MD Professional Corporation
• Randell Wayne Mello, RPH
• Montana Kaye Mellott, RN
• Memorialcare Surgical Center at Saddleback LLC (Laguna Niguel Surgery Center)
• Mesisca Physical Therapy Inc
• Dennis John Mesisca, PHYSICAL THERAPIST

• Neurology with Special Qualifications in Child Neurology Physician in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Neurology with Special Qualifications in Child Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.