EDISON VICTOR DE MELLO


Address: 520 Arizona Avenue, Santa Monica, CA 90401
Phone: 3104518880

EDISON VICTOR DE MELLO (NPI# 1053532044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053532044
Entity Type Individual
Full Name EDISON VICTOR DE MELLO
Credential MD PHD
Practice Address 520 Arizona Avenue
Santa Monica
CA 90401
Practice Telephone 3104518880
Practice Fax Number 3104518803
Mailing Telephone 3104518880
Mailing Fax Number 3104518803
Enumeration Date 2007-05-01
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine N78519 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 520 ARIZONA AVENUE
City SANTA MONICA
State CA
Zip Code 90401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588096341 Dr. Carr Integrative Physical Therapy, Inc. Clinic/Center 520 Arizona Avenue, Santa Monica, CA 90401 2013-08-05
1437370699 Eugene Iwasa Acupuncturist 520 Arizona Avenue, Santa Monica, CA 90401 2007-05-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013499458 Franchesca Johnson Gordon Marriage & Family Therapist 900 Wilshire Blvd., Ste. 450, Santa Monica, CA 90401 2018-09-01
1629564083 Michelle Jillian Dolinsky Social Worker 1243 7th St Ste C, Santa Monica, CA 90401 2018-07-09
1528507084 Doctor Tlc, License Clinical Psychologist, Inc. Community/Behavioral Health 1242 Third St Promenade, Suite 208, Santa Monica, CA 90401 2017-02-16
1285006023 Venessa Leeann Roca Speech-Language Pathologist 1218 6th Street, Santa Monica, CA 90401 2015-10-20
1720468036 Stephen J. Kenneally Marriage & Family Therapist 610 Santa Monica Bvd, Ste. 201, Santa Monica, CA 90401 2015-06-02
1629458070 Dominique L Robertson Marriage & Family Therapist 530 Wilshire, #310, Santa Monica, CA 90401 2015-06-01
1205252673 Santa Monica Sports Medicine Inc. Physical Medicine & Rehabilitation 900 Wilshire Blvd. #410, Santa Monica, CA 90401 2014-03-10
1154675023 Sherry Marie Martyn Psychologist 1242 3rd Street Promenade Ste 208, Santa Monica, CA 90401 2012-10-31
1700159829 Gary Warburton Dentist 519 Arizona Ave., Santa Monica, CA 90401 2012-02-21
1265713036 Aleksandr Mailyan Reflexologist 201 Wilshire Blvd #101, Santa Monica, CA 90401 2011-09-07
Find all providers in zip 90401

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295271286 Asal Askarinam Family Medicine 1260 15th St Ste 1501, Santa Monica, CA 90404-1150 2017-01-13
1316380769 Juan Manuel Cabrales Family Medicine 1920 Colorado Ave Fl 2, Santa Monica, CA 90404-3414 2013-04-15
1730423229 Lawrence M Rosen Family Medicine 305 Alta Ave, Santa Monica, CA 90402-2729 2012-11-21
1295029882 Jenny Jie Bao Family Medicine 2001 Santa Monica Blvd Ste 370w, Santa Monica, CA 90404-2105 2011-06-01
1437391554 Amy Gelfand Family Medicine 1027 Princeton St, Santa Monica, CA 90403-4701 2009-04-03
1740426352 Adel E. Salawy Family Medicine 201 Ocean Ave, 1609-b, Santa Monica, CA 90402 2009-01-02
1205081916 Gerald Klaz Family Medicine 50 Village Park Way, Santa Monica, CA 90405 2008-11-21
1942460605 Diane Rhee Kim Family Medicine 1920 Colorado Blvd., Santa Monica, CA 90404 2008-06-16
1831301845 Watson Medical Inc Family Medicine 3201 Wilshire Blvd Ste 211, Santa Monica, CA 90403-2337 2007-05-03
1619199791 Stephanie Canale Family Medicine 2428 Santa Monica Blvd Ste 200, Santa Monica, CA 90404-2046 2007-05-02
Find all providers in SANTA MONICA

Competitor

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City SANTA MONICA
Zip Code 90401

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Dataset Information

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.

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