Individual provider Active NPI

Marcelo Daniel Mele Jr., LMT

  • Massage Therapist
  • Redondo Beach, CA
National Provider Identifier
1932708419
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
28592 Issued in CA
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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. Other name

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

LicenseStateTypeSpecialty
28592CAMDPhysical 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.

Verify at the official NPI Registry.