Individual provider Active NPI

Melanie T. Moya, FAMILY NURSE PRACTIT

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1932427796
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN#437641 Issued in CA
Practice address
4650 Sunset Boulevard
Childrens Hospital Los Angeles
Los Angeles, CA 90027
Phone
(323) 361-2533
NPI assigned
May 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN#437641 CA Primary

Addresses

Primary practice location

4650 Sunset Boulevard
Childrens Hospital Los Angeles
Los Angeles, CA 90027

Mailing address

4650 Sunset Boulevard Mail Stop, #125
Childrens Hospital Los Angeles
Los Angeles, CA 90027-0980
Phone (323) 361-2533

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250702004097 CA Practitioner - Nurse Practitioner 5799298675 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN#437641CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gracelight Community Health CurrentSince Jun 11, 2025 Accepting new patients
Gracelight Community Health CurrentSince Jun 11, 2025 Accepting new patients

Locations

4816 E 3rd St
Los Angeles, CA 90022
Phone (323) 780-4510

150 N Reno St
Los Angeles, CA 90026
Phone (213) 380-7298

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272931200000",
    "number": "1932427796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 SUNSET BOULEVARD MAIL STOP, #125",
            "address_2": "CHILDRENS HOSPITAL LOS ANGELES",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900270980",
            "telephone_number": "323-361-2533",
            "fax_number": "323-361-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 SUNSET BOULEVARD",
            "address_2": "CHILDRENS HOSPITAL LOS ANGELES",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90027",
            "telephone_number": "323-361-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYA",
        "first_name": "MELANIE",
        "middle_name": "T.",
        "name_prefix": "Ms.",
        "credential": "FAMILY NURSE PRACTIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "RN#437641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.