DR. JAMES DALE MELLEMA MD NPI 1376582528

NPI Information

NPI: 1376582528
Provider Name: DR. JAMES DALE MELLEMA, MD
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
812 POLLARD RD
SUITE 1
LOS GATOS, CA
ZIP 95032
Phone: (408) 374-1212
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DR. James Dale Mellema, MD is a specialist in Los Gatos, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. James Dale Mellema, MD NPI is 1376582528. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

812 POLLARD RD
SUITE 1
LOS GATOS, CA
ZIP 95032-420
Phone: (408) 374-1212
Fax: (408) 374-4160

The enumeration date for this NPI number is 6/5/2006 and was last updated on 7/8/2007.

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
1	174400000X	Specialist		AO22280	CALIFORNIA	Yes

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
1	20828316	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
2	A23000	MEDICARE UPIN	CALIFORNIA

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: 11/14/2023

NPI Synchronization or Removal

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