MELANIN YOUTH FOUNDATION NPI 1124999214

NPI Information

  • NPI: 1124999214
  • Provider Name: MELANIN YOUTH FOUNDATION
  • Classification: Voluntary or Charitable - 251V00000X
  • Entity Type: Organization
  • Address: 21550 LANE ST
    PERRIS, CA
    ZIP 92570
  • Phone: (951) 712-5031

Map and Directions

Get Directions

NPI Details

MELANIN YOUTH FOUNDATION is a voluntary or charitable in Perris, CA. MELANIN YOUTH FOUNDATION NPI is 1124999214. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

21550 LANE ST
PERRIS, CA
ZIP 92570-140
Phone: (951) 712-5031

The provider's authorized official is Krystal Melessia Singh .
The authorized official title is President and has the following contact phone number (951) 712-5031.

The enumeration date for this NPI number is 9/13/2025 and was last updated on 9/16/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1374J00000XDoulaNo
2174H00000XHealth EducatorNo
3171M00000XCase Manager/Care CoordinatorNo
4172V00000XCommunity Health WorkerNo
5251S00000XCommunity/Behavioral HealthNo
6251V00000XVoluntary or CharitableYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11013888106MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI