Individual provider Active NPI

Irina L. Melnik, M.D.

  • Orthopaedic Surgery Physician
  • Larkspur, CA
National Provider Identifier
1902859838
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A77503 Issued in CA
Practice address
2 Bon Air Rd
#120
Larkspur, CA 94939-1141
Phone
(415) 927-5300
Fax
(415) 927-5242
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A77503 CA Primary

Addresses

Primary practice location

2 Bon Air Rd
#120
Larkspur, CA 94939-1141

Mailing address

2 Bon Air Rd
#120
Larkspur, CA 94939-1141
Phone (415) 927-5300

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041207000830 CA Practitioner - Physical Medicine and Rehabilitation 9537150032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

655 Redwood Hwy Frontage Rd
Suite 203
Mill Valley, CA 94941-3025
Phone (415) 388-3808

Hospital & facility affiliations

  • Marinhealth Medical Center Hospital, Greenbrae, CA, CCN 050360
  • Novato Community Hospital Hospital, Novato, CA, CCN 050131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A77503CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Irina L Melnik, MD Professional Corporation CurrentSince Apr 22, 2020 Accepting new patients
Scott J. Miscovich MD, LLC PastSince Apr 20, 2003 Accepting new patients
Portner Orthopedic Rehabilitation Incorporated PastSince Sep 8, 2024 Accepting new patients

Locations

655 Redwood Hwy Frontage Rd
Ste 203
Mill Valley, CA 94941
Phone (415) 381-4602

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1902859838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BON AIR RD",
            "address_2": "#120",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391141",
            "telephone_number": "415-927-5300",
            "fax_number": "415-927-5242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BON AIR RD",
            "address_2": "#120",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391141",
            "telephone_number": "415-927-5300",
            "fax_number": "415-927-5242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELNIK",
        "first_name": "IRINA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A77503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Larkspur, CA

Sources for this page

Verify at the official NPI Registry.