MELANIE BERNUS TALLAKSON (NPI# 1174001507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174001507 |
| Entity Type | Individual |
| Full Name | MELANIE BERNUS TALLAKSON |
| Credential | DNP, FNP-BC |
| Practice Address |
1100 Gottschalk Medical Plaza Irvine CA 92697 |
| Mailing Address |
1100 Gottschalk Medical Plaza Irvine CA 92697-0001 |
| Practice Telephone | 9498243250 |
| Practice Fax Number | 9498243049 |
| Mailing Telephone | 9498243250 |
| Mailing Fax Number | 9498243049 |
| Enumeration Date | 2018-07-28 |
| Last Update Date | 2019-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95009532 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20 Flaxwood, Irvine, CA 926147547 | 9492357043 | |
| 1100 Gottschalk Medical Plaza, Irvine, CA 92697 | 9498243250 | 9498243049 |
| Street Address |
1100 GOTTSCHALK MEDICAL PLAZA |
| City | IRVINE |
| State | CA |
| Zip Code | 92697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134514888 | Jessica Shiu | Dermatology | 118 Medical Surge 1, Irvine, CA 92697 | 2015-03-31 |
| 1649513508 | Melissa Shive | Dermatology | Uci Dermatology 1 Medical Plaza Drive, Irvine, CA 92697 | 2013-03-29 |
| 1760740526 | Adam Mason | Anesthesiology | 101 The City Dr. S., Uci Department of Anesthesiology, Anaheim, CA 92697 | 2012-04-30 |
| 1295966489 | Thu Michelle Tran | Nurse Practitioner | C240 Medical Science I, Uci Infusion Center, Irvine, CA 92697 | 2009-08-05 |
| 1760667554 | Catherine Marie Mcadams-ortiz | Nurse Practitioner | 1100 Gottschalk Medical Plaza Drive, University of California, Irvine, Irvine, CA 92697 | 2007-12-31 |
| 1386767630 | Gary W Cole | Dermatology | Dept. of Dermatology, Univ. of Calif., Irvine, Medical Sciences 1, Rm C340, Irvine, CA 92697 | 2007-04-09 |
| 1982729786 | Helen C. Tseng | Ophthalmology | 118 Med Surge 1 Attn Karen Tighe, Uc Irvine, Dept of Ophthalmology, Irvine, CA 92697 | 2007-03-20 |
| 1710065453 | Ronald Kurtz | Ophthalmology | 118 Med Surge 1, University of California, Irvine, Irvine, CA 92697 | 2006-11-01 |
| 1871509026 | Vivien Chan | Psychiatry & Neurology | 501 Student Health, Irvine, CA 92697 | 2006-07-31 |
| 1528509742 | Surget Cox | Student in an Organized Health Care Education/Training Program | 1 Medical Plaza Dr, Irvine, CA 92697 | 2017-03-20 |
| Find all providers in zip 92697 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447866132 | Lisa Yoensil Yoon Park | Nurse Practitioner | 9204 Esperanza, Irvine, CA 92618-1749 | 2020-09-18 |
| 1922613702 | Jennifer Elbel Hill | Nurse Practitioner | 16100 Sand Canyon Ave Ste 130, Irvine, CA 92618-3722 | 2020-09-09 |
| 1649898743 | Aimee Johanna Rodriguez | Nurse Practitioner | 3237 Grand Canal, Irvine, CA 92620-1707 | 2020-07-06 |
| 1407318314 | Marlon Herrera Carpio | Nurse Practitioner | 17 Pacific Crst, Irvine, CA 92602-2408 | 2019-04-01 |
| 1316404007 | Annie Tak | Nurse Practitioner | 2 Hughes Ste 150, Irvine, CA 92618-2036 | 2019-02-28 |
| 1164998886 | Ashkan Bastani | Nurse Practitioner | 9 Mecklenberg, Irvine, CA 92620-2727 | 2018-10-19 |
| 1003322306 | Katherine Lin Matsumoto | Nurse Practitioner | 250 E Yale Loop Ste 204, Irvine, CA 92604-4697 | 2017-12-21 |
| 1518481431 | Nueva Parazo Singian | Nurse Practitioner | 7725 Gateway Unit 1239, Irvine, CA 92618-1573 | 2017-08-02 |
| 1861920191 | Sindu Shelly | Nurse Practitioner | 23 Poppy, Irvine, CA 92618-6922 | 2017-05-31 |
| 1245768100 | Donna Mae Chaves | Nurse Practitioner | 718 Whispering Trl, Irvine, CA 92602-0805 | 2017-05-23 |
| Find all providers in IRVINE | ||||
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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.