Individual provider Active NPI

Michelle Melo, M.D.

  • Family Medicine Physician
  • Fairfax, VA
National Provider Identifier
1922356807
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A117283 Issued in CA
Practice address
2987 District Ave Ste 120
Fairfax, VA 22031-1571
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Aug 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A117283 CA Primary

Addresses

Primary practice location

2987 District Ave Ste 120
Fairfax, VA 22031-1571

Mailing address

3490 California St
Suite 203
San Francisco, CA 94118-1891
Phone (415) 593-1134

Other practice location 1

3490 California St
Suite 203
San Francisco, CA 94118-1891
Phone (415) 593-1134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130418000228 CA Practitioner - Family Practice 4486890415
I20220830003183 DC Practitioner - Family Practice 4486890415 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
One Medical Group, Inc Family Medicine CurrentSince Aug 19, 2015 Accepting new patients
One Medical Group, Inc. Family Medicine CurrentSince Aug 19, 2015 Accepting new patients
One Medical Group, P.C. Family Medicine PastSince Sep 1, 2022 Accepting new patients

Locations

130 Sutter St
Fl 2
San Francisco, CA 94104
Phone (415) 529-4522

3490 California St
Ste 203
San Francisco, CA 94118
Phone (415) 440-3291

559 Clay St
#200
San Francisco, CA 94111
Phone (415) 830-4744

2410 California St
San Francisco, CA 94115
Phone (415) 529-4050

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1345939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1922356807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3490 CALIFORNIA ST",
            "address_2": "SUITE 203",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181891",
            "telephone_number": "415-593-1134",
            "fax_number": "415-291-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2987 DISTRICT AVE STE 120",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220311571",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3490 California St",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941181891",
            "country_code": "US",
            "telephone_number": "415-593-1134",
            "fax_number": "415-291-0489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELO",
        "first_name": "MICHELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-26",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A117283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.