Denis Melliz

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

PT36413 Issued in CA

Practice address

3208 Rosemead Blvd
Suite 200
El Monte, CA 91731-2830

Phone

(626) 227-7001

NPI assigned

Jun 6, 2014

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402012800000",
    "number": "1881007896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18150 PRAIRIE AVE",
            "address_2": "APT. 202",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905043723",
            "telephone_number": "562-508-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 ROSEMEAD BLVD",
            "address_2": "SUITE 200",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312830",
            "telephone_number": "626-227-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLIZ",
        "first_name": "DENIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-06",
        "last_updated": "2014-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "PT36413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celestino Juan Melchor
• Carlos Melendez
• Cindy Scarlet Melgar
• Joseph Melillo, O.D.
• Stephen R Melli, M.D.
• Jose Luis Mendez Sr.
• Clarissa M Mendoza, RN/PHN
• Mark Mendoza
• Angel Mercado, RPH
• Ngozi Andrade Messam, RN

• Licensed Psychiatric Technician in El Monte, CA
• Providers in El Monte, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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.