Individual provider Active NPI

Melina Beth Jampolis, M.D.

  • Internal Medicine Physician
  • Studio City, CA
National Provider Identifier
1942593116
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A65663 Issued in CA
Practice address
12526 Riverside Dr
Studio City, CA 91607-3409
Phone
(818) 392-8644
Fax
(818) 301-1944
NPI assigned
May 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A65663 CA Primary

Addresses

Primary practice location

12526 Riverside Dr
Studio City, CA 91607-3409

Mailing address

4540 Simpson Ave
Studio City, CA 91607-4135
Phone (818) 392-8644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 20, 2019 through Jun 20, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A65663CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Melina B. Jampolis MD a Proffessional Corporation Internal Medicine Past Accepting new patients

Organizations & group practices 1

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": "1306022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425513600000",
    "number": "1942593116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 SIMPSON AVE",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916074135",
            "telephone_number": "818-392-8644",
            "fax_number": "818-301-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12526 RIVERSIDE DR",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916073409",
            "telephone_number": "818-392-8644",
            "fax_number": "818-301-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMPOLIS",
        "first_name": "MELINA",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-22",
        "last_updated": "2015-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A65663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Studio City, CA

Sources for this page

Verify at the official NPI Registry.