Melissa Marcelo Mondala

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A147084 Issued in CA

Practice address

1501 Westcliff Dr Ste 201
Newport Beach, CA 92660-5518

Phone

(949) 569-8877

Fax

(949) 289-2612

NPI assigned

May 18, 2015

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 21, 2021 through Jun 21, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: melissa.mondala@601888261275652.direct.elationemr.com
• Direct secure messaging: mmondala81591@direct.llu.edu

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.

• Dr. Lifestyle

  • Multi-Specialty Clinic/Center
  • Newport Beach, CA
  • NPI 1609473677
  NPD (past)

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639267200000",
    "number": "1881072239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16002 LEGACY RD UNIT 215",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927822782",
            "telephone_number": "909-837-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 WESTCLIFF DR STE 201",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605518",
            "telephone_number": "949-569-8877",
            "fax_number": "949-289-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDALA",
        "first_name": "MELISSA",
        "middle_name": "MARCELO",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-18",
        "last_updated": "2021-12-12",
        "certification_date": "2021-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "A147084",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A147084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kira L Molenda
• Jessyca Molina
• Jennifer Moller, PA-C
• Larry Lalji Momaya, MD
• Sebastian Momdjian
• April Dawn Money
• Charles Wallace Moniak, MD
• Monica Kieu DO Incorporated
• Monica M Bonakdar, M.D., Inc.
• Monica Perlman MD Inc.

• Family Medicine Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2021; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.