Jesse S Mellema

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

307646 Issued in CA

Practice address

16561 Bolsa Chica St Ste 100
Huntington Beach, CA 92649-3594

Phone

(714) 364-1313

NPI assigned

Feb 18, 2025

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians

Impt IncGroup PAC ID 9335112762, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166

  Orthopedic

  Medicare reassignment Care Compare group NPD
• Impt, Inc.

  • Orthopedic Physical Therapist
  • Irvine, CA
  • NPI 1184670804
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1891590329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16681 LYNN LN APT A",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926493461",
            "telephone_number": "714-334-6685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16561 BOLSA CHICA ST STE 100",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926493594",
            "telephone_number": "714-364-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLEMA",
        "first_name": "JESSE",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "307646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Marie Meier, M.D.
• Nicole Mejia
• Delanie Meldman, ACSW
• Orlina Melendez, LMFT
• Arbi Melikian, O.D.
• Shereen Memarian, PA-C
• Memorial Pediatrics
• Memorial Prompt Care Medical Group, Inc.
• Memorial Prompt Care Medical Group, Inc.
• Joshua Mena

• Orthopedic Physical Therapist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.