MELISSA S COPELAND (NPI# 1699737676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699737676 |
Entity Type | Individual |
Full Name | MELISSA S COPELAND |
Other Name | MELISSA S KENT |
Credential | PA-C |
Practice Address |
4215 Spring St Ste 125 La Mesa CA 91941-7983 |
Practice Telephone | 6194617277 |
Practice Fax Number | 6194617278 |
Mailing Telephone | 6194617277 |
Mailing Fax Number | 6194617278 |
Enumeration Date | 2006-04-05 |
Last Update Date | 2018-06-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
53433 | CA | Allopathic & Osteopathic Physicians |
N | 363A00000X | Physician Assistant | 1615 | CO | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA53433 | CA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 82587841 | 05 | |
WY | 1699737676 | 05 | |
KS | 200974500A | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922599653 | Melissa Copeland | Developmental Therapist | 345 Greenwood St Ste A, Worcester, MA 01607-1767 | 2018-05-29 |
Street Address |
4215 SPRING ST STE 125 |
City | LA MESA |
State | CA |
Zip Code | 91941-7983 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174921183 | Michael Ryan Lenihan Jr. | Physician Assistant | 4215 Spring St Ste 125, La Mesa, CA 91941-7983 | 2014-12-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659914588 | Aja Encinas | Midwife | 9461 Grossmont Summit Drive Suite A, La Mesa, CA 91941 | 2019-10-23 |
1750889861 | Kasey Higgins | Nurse Practitioner | 10862 Calle Verde # S93, La Mesa, CA 91941 | 2018-01-24 |
1801325238 | Edward Rabinovich, Dds, Inc. | Dentist | 3855 Avocado Blvd., Ste. 250, La Mesa, CA 91941 | 2017-06-08 |
1003204140 | Cierra Lancaster | Case Manager/Care Coordinator | 4287 Palm Ave #32, La Mesa, CA 91941 | 2014-12-23 |
1710388533 | Affordable In Home Care | Home Health | 7953 Lemon Circle, La Mesa, CA 91941 | 2014-09-11 |
1902206063 | Rachel Llanes | Marriage & Family Therapist | 4849 Schuyler Avenue, La Mesa, CA 91941 | 2014-08-26 |
1497185540 | Benjamin J Mandel | Dentist | 3835 Avocado Blvd #220, Lamesa, CA 91941 | 2013-11-26 |
1487084901 | Accuquest Hearing Centers | Clinic/Center | 5105 Garfield Street, La Mesa, CA 91941 | 2013-11-19 |
1447551353 | John Chuol Kuek | Marriage & Family Therapist | 4060 Fairmount Avenue, San Diego, CA 91941 | 2010-11-09 |
1588808463 | Aesthetic Arts Institute of Plastic Surgery, LLC | Clinic/Center | 8415 Grant Avenue, La Mesa, CA 91941 | 2009-04-23 |
Find all providers in zip 91941 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154618593 | Igor Medic | Internal Medicine | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2011-07-06 |
1629286505 | Reema R. Batra | Internal Medicine | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2007-05-21 |
1134280605 | David J Bodkin | Internal Medicine | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2006-12-12 |
1164583639 | Kai Zu | Internal Medicine | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2006-12-12 |
1588674741 | Michael Anthony Crucitt | Internal Medicine | 5525 Grossmont Center Dr, La Mesa, CA 91942-3009 | 2006-08-09 |
1124058870 | Michelle Kiluk | Internal Medicine | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2006-07-04 |
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1871141598 | Edward A, Wagner, M.d., Inc. | Internal Medicine | 25500 Rancho Niguel Rd Ste 240, Laguna Niguel, CA 92677-7373 | 2019-08-27 |
1255988341 | Christopher Lemieux | Internal Medicine | 300 Pasteur Dr # H1010, Stanford, CA 94305-2200 | 2019-08-22 |
1063972131 | Titfany Wang | Internal Medicine | 133 N Prairie Ave Ste C, Inglewood, CA 90301-4878 | 2019-03-23 |
1649736687 | Adventist Health Physicians Network | Internal Medicine | 95 Declaration Dr Ste 1, Chico, CA 95973-4916 | 2019-02-14 |
1518433762 | Teamx Medical Group | Internal Medicine | 7253 N Cherry Ln, Van Nuys, CA 91405-5477 | 2018-10-15 |
1508352675 | Oncology Physicians Network of California PC | Internal Medicine | 700 N Brand Blvd Ste 640, Glendale, CA 91203-4271 | 2018-07-02 |
1881184026 | R.w. Weber, M.d., A Medical Corporation | Internal Medicine | 1800 Sullivan Ave Rm 603, Daly City, CA 94015-2226 | 2018-05-14 |
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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.