DR. MELVYN J MICHAELIAN (NPI# 1427053438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427053438 |
| Entity Type | Individual |
| Full Name | DR. MELVYN J MICHAELIAN |
| Credential | M.D. |
| Practice Address |
521 E Elder St Ste 205 Fallbrook CA 92028-3083 |
| Practice Telephone | 7607286106 |
| Practice Fax Number | 7607284547 |
| Mailing Telephone | 7607286106 |
| Mailing Fax Number | 7607284547 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2007-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | G14877 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G148770 | 05 | |
| CA | SOUTHERN BLUE SHIELD | YYY49687Y | 01 |
| CA | NORTHERN BLUE SHIELD | ZZZ27707Z | 01 |
| Street Address |
521 E ELDER ST STE 205 |
| City | FALLBROOK |
| State | CA |
| Zip Code | 92028-3083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518322197 | Raphael V Dolojan | Physical Therapist | 521 E Elder St, Suite 106, Fallbrook, CA 92028-3081 | 2015-12-23 |
| 1043681752 | Beverly Radiology Medical Group | Radiology | 521 E Elder St, Suite 101, Fallbrook, CA 92028-3081 | 2015-10-08 |
| 1942621784 | Gi Excellence Inc | Internal Medicine | 521 E Elder St, Suite 206, Fallbrook, CA 92028-3083 | 2013-12-20 |
| 1063858454 | Temecula Valley Digestive Disease Consultants A Medical Corporation | Anesthesiology | 521 E Elder St, Suite 104, Fallbrook, CA 92028-3081 | 2013-05-13 |
| 1427309749 | Tri Valley Urology | Specialist | 521 E Elder St, Suite 201, Fallbrook, CA 92028-3081 | 2012-09-26 |
| 1477808673 | Luke Anthony Scott | Physical Therapist | 521 E Elder St, Ste. 106, Fallbrook, CA 92028-3081 | 2012-07-13 |
| 1396005674 | Mary Elizabeth Wright | Nurse Practitioner | 521 E Elder St, Ste 104, Fallbrook, CA 92028-3081 | 2012-05-21 |
| 1316210933 | Amanda Maryellen Martin | Physical Therapist | 521 E Elder St, Suite 106, Fallbrook, CA 92028-3081 | 2012-02-13 |
| 1578831871 | Rolf R. Drinhaus, M.d., Inc. | Orthopaedic Surgery | 521 E Elder St, #105, Fallbrook, CA 92028-3081 | 2011-12-01 |
| 1972890630 | H. Ward Brooks, M.d. Apc | Orthopaedic Surgery | 521 E Elder St, #105, Fallbrook, CA 92028-3081 | 2011-07-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396235727 | Mmr Dme | Durable Medical Equipment & Medical Supplies | 1116 S Main Ave, Fallbrook, CA 92028 | 2018-05-10 |
| 1245616119 | Brett Christian Wootton | General Acute Care Hospital | 325 Potter Street, Fallbrook, CA 92028 | 2015-08-03 |
| 1215375852 | Ashley Stein Araiza | Dentist | 304 N Orange Ave, Fallbrook, CA 92028 | 2013-06-05 |
| 1063794253 | Elizabeth Ann Nestor | Developmental Therapist | 4164 Lake Circle Dr, Fallbrook, CA 92028 | 2011-09-13 |
| 1639460173 | Narciso Hernandez | Case Manager/Care Coordinator | 120 W Hawthone, Fallbrook, CA 92028 | 2011-05-02 |
| 1699961755 | Susana Bowen | Registered Nurse | 628 East Elder, Fallbrook Hospital, Fallbrook, CA 92028 | 2007-09-21 |
| 1912190869 | Helena Holmes Morrison | Social Worker | 2068a E. Mission Rd., Fallbrook, CA 92028 | 2007-08-23 |
| 1831311059 | Eric J Ramos, A Proffesional Corp | Optometrist | 645 E. Elder St. Ste D, Fallbrook, CA 92028 | 2007-05-03 |
| 1578617551 | Gregory Dean Montague | Dentist | 304 East Mission Road, Suite C, Fallbrook, CA 92028 | 2007-01-23 |
| 1629120944 | Michele H Germain | Social Worker | 577 E Elder, Suite F, Fallbrook, CA 92028 | 2007-01-17 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
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| 1003439746 | Howard Takiff | Surgery | 760 La Canada St, La Jolla, CA 92037-6724 | 2020-05-27 |
| 1629698253 | Gisela Regalado Paredes | Surgery | Antelope Valley Hospital, 1600 West Ave J, Lancaster, CA 93534 | 2020-04-23 |
| 1811517667 | John K Colwell | Surgery | 222 Hollywood Ave, Los Gatos, CA 95030 | 2020-04-22 |
| 1295361772 | William Robert Berry | Surgery | 5775 Del Cerro Blvd, San Diego, CA 92120-4513 | 2020-03-17 |
| 1497380638 | Bay Area Medical and Surgical Group, Inc. | Surgery | 490 Post St Ste 530, San Francisco, CA 94102-1412 | 2020-03-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.