Active NPI
Marcelo Daniel Mele Jr., LMT
- Massage Therapist
- Redondo Beach, CA
National Provider Identifier
1932708419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 28592
- Practice address
- 2116 Vanderbilt LN Apt I
Redondo Beach, CA 90278-3042 - Phone
- (424) 243-3402
- NPI assigned
- Oct 26, 2020
- Last updated
- Oct 26, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 28592 | CA | Primary |
Addresses
Primary practice location
2116 Vanderbilt LN Apt I
Redondo Beach, CA 90278-3042
Mailing address
2116 Vanderbilt LN Apt I
Redondo Beach, CA 90278-3042
Phone (424) 243-3402
Other names 1
- Mr. Danny Mele Jr.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28592 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1932708419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2116 VANDERBILT LN APT I",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902783042",
"telephone_number": "424-243-3402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2116 VANDERBILT LN APT I",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902783042",
"telephone_number": "424-243-3402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELE",
"first_name": "MARCELO",
"middle_name": "DANIEL",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-26",
"last_updated": "2020-10-26",
"certification_date": "2020-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "28592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANNY",
"last_name": "MELE",
"prefix": "MR.",
"suffix": "JR.",
"credential": "LMT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.