DR. MELISSA HINES-ANTICO (NPI# 1043867229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043867229 |
| Entity Type | Individual |
| Full Name | DR. MELISSA HINES-ANTICO |
| Other Name | MELISSA HINES |
| Credential | NP |
| Practice Address |
3855 Health Sciences Dr La Jolla CA 92093-1503 |
| Mailing Address |
Po Box 232410 San Diego CA 92193-2410 |
| Practice Telephone | 8588226100 |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95012012 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 50100 Golsh Rd, Valley Center, CA 920825338 | 7607491410 | |
| 200 W Arbor Dr, San Diego, CA 921039000 | 8009268273 |
| Street Address |
3855 HEALTH SCIENCES DR |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92093-1503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356327316 | Hitendra Patel | Internal Medicine | 3855 Health Sciences Dr, La Jolla, CA 92093-2640 | 2005-12-21 |
| 1811512536 | Joseph Anthony Piscitelli | Student in an Organized Health Care Education/Training Program | 3855 Health Sciences Dr, La Jolla, CA 92093-1503 | 2020-06-09 |
| 1356963169 | Daniel Macmanus | Registered Nurse | 3855 Health Sciences Dr, La Jolla, CA 92093-1503 | 2020-05-14 |
| 1851959555 | Robert Kaderka | Student in an Organized Health Care Education/Training Program | 3855 Health Sciences Dr, La Jolla, CA 92093-1503 | 2019-05-29 |
| 1104309442 | Ila Maewal Saunders | Pharmacist | 3855 Health Sciences Dr, La Jolla, CA 92093-1503 | 2018-09-12 |
| 1659854560 | Carie Ann Montesa | Nurse Practitioner | 3855 Health Sciences Dr, La Jolla, CA 92093-1503 | 2018-09-07 |
| 1831699297 | Andrew Menh Sam | Pharmacist | 3855 Health Sciences Dr, La Jolla, CA 92093-1503 | 2018-02-12 |
| 1205344116 | Jennifer Ann Dvorak | Nurse Practitioner | 3855 Health Sciences Dr, La Jolla, CA 92093-1503 | 2018-01-12 |
| 1467903682 | University of California, San Diego | Clinic/Center | 3855 Health Sciences Dr, Suite 1036, La Jolla, CA 92093-0845 | 2016-10-24 |
| 1659821080 | Michelle Duong | Nurse Practitioner | 3855 Health Sciences Dr, Mail Code: 0960, La Jolla, CA 92093-1503 | 2016-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902442908 | Forrest N Ridgway | Pharmacist | 3855 Health Sciences Drive #0845, La Jolla, CA 92093 | 2019-11-25 |
| 1578060067 | Michelle Sloan | Student in an Organized Health Care Education/Training Program | 9500 Gilman Dr #0851, La Jolla, CA 92093 | 2018-04-10 |
| 1114372471 | Kevin Ting | Internal Medicine | 9500 Gilman Dr # Mc7411, La Jolla, CA 92093 | 2016-04-24 |
| 1225490147 | Karen Tye | Student in an Organized Health Care Education/Training Program | 3960 Health Sciences Drive, La Jolla, CA 92093 | 2016-03-22 |
| 1457716615 | Christine Pulido | Student in an Organized Health Care Education/Training Program | 9500 Gilman Drive #0851, La Jolla, CA 92093 | 2015-12-15 |
| 1467830489 | Justin Arshed Shaya | Internal Medicine | 3855 Health Sciences Dr #0829, La Jolla, CA 92093 | 2015-05-11 |
| 1225425606 | Brad Hiroshi Kimura | Internal Medicine | 9500 Gilman Dr # Mc9111g, La Jolla, CA 92093 | 2015-04-23 |
| 1407241169 | Courtney Holmes Mckee | Emergency Medicine | 3855 Health Sciences Drive Mc0987, La Jolla, CA 92093 | 2015-03-31 |
| 1528488350 | Arlene Bravo | General Practice | 9500 Gilman Dr # Mc0656, La Jolla, CA 92093 | 2014-04-19 |
| 1710237391 | Chaitanya Pabbati | Psychiatry & Neurology | 9500 Gillman Drive #9116a, La Jolla, CA 92093 | 2012-09-11 |
| Find all providers in zip 92093 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679136832 | Meghan Elizabeth Jones | Nurse Practitioner | 9300 Campus Point Dr # Mc7892, La Jolla, CA 92037-1300 | 2019-04-15 |
| 1033677190 | Deedra Elizabeth Roberts | Nurse Practitioner | 5655 Caminito Danzarin, La Jolla, CA 92037-7161 | 2019-03-07 |
| 1942788773 | Melanie Trusz | Nurse Practitioner | 9898 Genesee Ave Fl 4, La Jolla, CA 92037-1205 | 2018-08-02 |
| 1528570116 | Spencer Elizabeth Berman | Nurse Practitioner | 9293 Regents Rd Unit C306, La Jolla, CA 92037-9173 | 2017-11-03 |
| 1942729710 | Jessica Lynne Funk | Nurse Practitioner | 9898 Genesee Ave # Amp200, La Jolla, CA 92037-1205 | 2017-09-13 |
| 1144677592 | Johnnie Gayle Javidan | Nurse Practitioner | 7720 Fay Ave., La Jolla, CA 92037 | 2016-05-16 |
| 1194972950 | Judith Ann Gaspar | Nurse Practitioner | 9500 Gilman Dr Dept 39, La Jolla, CA 92093-0039 | 2008-08-24 |
| 1457530180 | Monsita Josefa Faley | Nurse Practitioner | Scripps Clinic Medical Group, 9898 Genesee Ave, La Jolla, CA 92037 | 2007-10-30 |
| 1477667087 | Kathryn Victoria Frederick Louv | Nurse Practitioner | 3350 La Jolla Village Dr., La Jolla, CA 92161 | 2006-08-19 |
| 1811978992 | Bonnie L Eklund | Nurse Practitioner | 9300 Campus Point Dr, Mail Code 7381, La Jolla, CA 92037-1300 | 2005-11-07 |
| Find all providers in LA JOLLA | ||||
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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.