JEFFREY MICHAEL MELANCON (NPI# 1508007568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508007568 |
| Entity Type | Individual |
| Full Name | JEFFREY MICHAEL MELANCON |
| Credential | M.D., PH.D. |
| Practice Address |
300 Fir St San Diego CA 92101-2327 |
| Practice Telephone | 6194461984 |
| Practice Fax Number | 6194461734 |
| Mailing Telephone | 6194461984 |
| Mailing Fax Number | 6194461734 |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2017-04-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | A114879 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699971622 | Jeffrey Walter Melancon | Military Health Care Provider | Nmcb 74 Unit 60253, Fpo, AA 34099 | 2007-06-26 |
| Street Address |
300 FIR ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92101-2327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275533465 | Habib Dalhoumi | Family Medicine | 300 Fir St, San Diego, CA 92101-2327 | 2005-07-28 |
| 1043789878 | Kristie Yee Dang | Pharmacist | 300 Fir St, San Diego, CA 92101-2327 | 2018-11-22 |
| 1306322003 | Emma Reaves | Physical Therapist | 300 Fir St, San Diego, CA 92101-2327 | 2018-07-16 |
| 1982109740 | Haran Sivakumar | Family Medicine | 300 Fir St, San Diego, CA 92101-2327 | 2018-03-26 |
| 1033644844 | Kathleen Kramer | General Practice | 300 Fir St, San Diego, CA 92101-2393 | 2017-04-30 |
| 1891153821 | Beverly Hunter | Pharmacist | 300 Fir St, San Diego, CA 92101-2327 | 2016-02-04 |
| 1528423472 | Lauren Chu | Pharmacist | 300 Fir St, San Diego, CA 92101-2327 | 2015-12-18 |
| 1447637145 | Fadi Georges | Family Medicine | 300 Fir St, San Diego, CA 92101-2393 | 2015-05-01 |
| 1568849495 | David Francis Reilly | General Practice | 300 Fir St, San Diego, CA 92101-2327 | 2015-04-29 |
| 1053718270 | Hector Morales Jr. | Pharmacist | 300 Fir St, San Diego, CA 92101-2327 | 2014-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415472 | Ryanleo Flores | Nurse Practitioner | 2017 1st Avenue, Suite 301, San Diego, CA 92101 | 2020-10-18 |
| 1265056048 | Tilbe Yildirim | Student in an Organized Health Care Education/Training Program | 1963 Fourth Ave., San Diego, CA 92101 | 2020-06-08 |
| 1235752585 | Liminal Solutions LLC | Home Health | 845 15th Street, Floors 1-4, San Diego, CA 92101 | 2020-05-21 |
| 1699258459 | Talya Donahue | Peer Specialist | 1045 Ninth Ave, San Diego, CA 92101 | 2018-09-07 |
| 1700380086 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1850 5th Ave, San Diego, CA 92101 | 2018-03-21 |
| 1013436161 | Yasmin Galicianava | Student in an Organized Health Care Education/Training Program | 734 Tenth Ave, San Diego, CA 92101 | 2017-09-10 |
| 1487172516 | Jessica Roach | Counselor | 1045 9th Avenue, San Diego, CA 92101 | 2017-09-09 |
| 1699204099 | Lisa Nunez | Student in an Organized Health Care Education/Training Program | 1963 4th Avenue, San Diego, CA 92101 | 2017-06-08 |
| 1356882245 | Dajah Mone't Lockett | Counselor | 2535 Kettner Blvd Suite 1a4, San Diego, CA 92101 | 2017-03-13 |
| 1649718495 | Luigi Bunyi | Behavior Technician | 501 W Broadway Suite 800, San Diego, CA 92101 | 2017-02-01 |
| Find all providers in zip 92101 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497399141 | Dermatology Specialists Inc | Dermatology | 4765 Carmel Mountain Rd Ste 201, San Diego, CA 92130-6657 | 2019-11-05 |
| 1306405998 | Mismo Dermatology Group Apc | Dermatology | 8898 Navajo Rd Ste C-349, San Diego, CA 92119-2141 | 2019-06-07 |
| 1609361740 | Seaver Soon Md Inc | Dermatology | 2044 W California St, San Diego, CA 92110-2121 | 2018-06-29 |
| 1700240249 | Alexandra Edelman | Dermatology | 3965 5th Ave Ste 200, San Diego, CA 92103-3107 | 2016-04-11 |
| 1033572391 | Lauren Metterle | Dermatology | 3020 Childrens Way # 5092, San Diego, CA 92123-4223 | 2016-04-03 |
| 1225493323 | Jeanette Jacknin | Dermatology | 12634 Carmel Country Rd, Suite 126, San Diego, CA 92130-3197 | 2015-12-16 |
| 1417330432 | Eugene Tachuk | Dermatology | 3740 Rosecrans St Ste C, San Diego, CA 92110-3126 | 2015-07-08 |
| 1508203563 | Monica Boen | Dermatology | 9339 Genesee Ave Ste 350, San Diego, CA 92121-2150 | 2013-05-31 |
| 1619311164 | David Otto Schairer | Dermatology | 8010 Frost St Ste 602, San Diego, CA 92123 | 2013-04-25 |
| 1295037760 | Susan Ann Kincaid | Dermatology | 1951 4th Ave Ste 202, San Diego, CA 92101-2374 | 2010-12-03 |
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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.