DR. SUSAN MELVIN (NPI# 1750487765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750487765 |
| Entity Type | Individual |
| Full Name | DR. SUSAN MELVIN |
| Credential | D.O. |
| Practice Address |
450 E Spring St Suite #1 Long Beach CA 90806-1625 |
| Mailing Address |
Po Box 1807 Long Beach CA 90801-1807 |
| Practice Telephone | 5629330068 |
| Practice Fax Number | 5629330078 |
| Mailing Telephone | 5629330068 |
| Mailing Fax Number | 5629330078 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
20A5075 | CA | Allopathic & Osteopathic Physicians |
| X | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
20A5075 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00AX50750 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932696994 | Susan L Melvin | Technician | 7237 Cahawba Ln, Leeds, AL 35094-2481 | 2018-04-16 |
| 1417201609 | Susan G Melvin | Marriage & Family Therapist | 524 S Houston Lake Rd Ste G, Warner Robins, GA 31088-9027 | 2012-11-09 |
| Street Address |
450 E SPRING ST SUITE #1 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689680001 | Memorial Family Medicine Medical Group, Inc. | Family Medicine | 450 E Spring St, #1, Long Beach, CA 90806-1625 | 2006-07-31 |
| 1891226403 | Mindy J Goh | Family Medicine | 450 E Spring St, 1, Long Beach, CA 90806-1625 | 2017-03-24 |
| 1568993152 | Anokhi Shah | Student in an Organized Health Care Education/Training Program | 450 E Spring St, 1, Long Beach, CA 90806-1625 | 2017-03-24 |
| 1801327499 | Grace E Brantingham | Family Medicine | 450 E Spring St, 1, Long Beach, CA 90806-1625 | 2017-03-24 |
| 1265963888 | Susana V Sandoval | Student in an Organized Health Care Education/Training Program | 450 E Spring St, 1, Long Beach, CA 90806-1625 | 2017-03-24 |
| 1912438532 | Chris E Gornes | Family Medicine | 450 E Spring St, 1, Long Beach, CA 90806-1625 | 2017-03-24 |
| 1316309776 | Denise Yang Lu | Family Medicine | 450 E Spring St, Suite 1, Long Beach, CA 90806-1625 | 2016-03-24 |
| 1457713984 | Brittany Mastin | Family Medicine | 450 E Spring St, Suite 1, Long Beach, CA 90806-1625 | 2016-03-23 |
| 1447645932 | Hannah Karp Wiefel | Family Medicine | 450 E Spring St, Suite 1, Long Beach, CA 90806 | 2015-04-01 |
| 1588059091 | Sheila Young | Student in an Organized Health Care Education/Training Program | 450 E Spring St, Suite 1, Long Beach, CA 90806-1625 | 2015-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
| 1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
| 1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
| 1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
| 1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
| Find all providers in zip 90806 | ||||
| Taxonomy Code | 207QA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adolescent Medicine |
| A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700982493 | Abigail Fletcher | Family Medicine | 450 E Spring St, Suite #1, Long Beach, CA 90806-1625 | 2006-09-16 |
| 1750487591 | Jeffrey Luther | Family Medicine | 450 E Spring St, Suite #1, Long Beach, CA 90806-1625 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184247876 | Lori A Musto, Do | Family Medicine | 881 Alma Real Dr Ste 110, Pacific Palisades, CA 90272-5008 | 2020-05-28 |
| 1548823867 | Inland Empire Medical Group, Inc | Family Medicine | 10250 Country Club Dr Ste A, Jurupa Valley, CA 91752-1328 | 2019-04-22 |
| 1851869663 | Universal Urgent Care, PC | Family Medicine | 6055 Niles St, Bakersfield, CA 93306-4696 | 2018-11-09 |
| 1003289554 | Dunja Maglica Md Inc | Family Medicine | 23441 Madison St Ste 305, Torrance, CA 90505-4735 | 2015-11-05 |
| 1750581096 | Rajiv Kumra | Family Medicine | 10020 Griffith St, San Jose, CA 95127-4117 | 2007-07-24 |
| 1023145240 | A Diop Family Care Medical Group Inc. | Family Medicine | 2704 W Manchester Blvd, Inglewood, CA 90305-2436 | 2007-02-27 |
| 1528101029 | Clinica Popular Medical Group | Family Medicine | 2410 W. 7th St, Los Angeles, CA 90057-3904 | 2007-02-14 |
| 1801949292 | Daniel G Berdakin | Family Medicine | 2410 W 7th St, Los Angeles, CA 90057-3904 | 2007-01-19 |
| 1679658041 | Tracey Lee Norton | Family Medicine | 420 W Las Tunas Dr, San Gabriel, CA 91776-1268 | 2006-10-26 |
| 1588754675 | Kyung Soo Yoo | Family Medicine | 15446 Parthenia St, North Hills, CA 91343-5108 | 2006-10-13 |
| Find all providers with the same taxonomy | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
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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.