MELISSA JANOVITCH (NPI# 1235375429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235375429 |
| Entity Type | Individual |
| Full Name | MELISSA JANOVITCH |
| Credential | P.A. |
| Practice Address |
4060 Fourth Ave Suite 415 San Diego CA 92103-2116 |
| Mailing Address |
3613 Vista Way Oceanside CA 92056-4522 |
| Practice Telephone | 6192989809 |
| Practice Fax Number | 9095571924 |
| Mailing Telephone | 7607585340 |
| Mailing Fax Number | 7607585502 |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2016-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA1138 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4060 FOURTH AVE SUITE 415 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-2116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134112626 | Jeffrey Robert Toman | Surgery | 4060 Fourth Ave, Suite 510, San Diego, CA 92103-2116 | 2005-08-30 |
| 1942620463 | Gastroenterology and Hepatology Medical Associates | Exclusive Provider Organization | 4060 Fourth Ave, Suite 240, San Diego, CA 92103-2116 | 2014-04-23 |
| 1861739690 | Katelyn Passey Pe | Clinical Nurse Specialist | 4060 Fourth Ave, Suite 240, San Diego, CA 92103-2116 | 2013-01-14 |
| 1295086262 | Zhike Pruett | Nurse Practitioner | 4060 Fourth Ave, Suite 220, San Diego, CA 92103-2116 | 2012-09-30 |
| 1821382573 | Tammy Pham, M.d., Inc. | Obstetrics & Gynecology | 4060 Fourth Ave, Suite 610, San Diego, CA 92103-2116 | 2011-05-30 |
| 1497056386 | H. Randall Hicks, M.d. Inc, H Randall Hicks Pres | Psychiatry & Neurology | 4060 Fourth Ave, Suite 615, San Diego, CA 92103-2116 | 2010-11-08 |
| 1700190642 | Jeffry A Mullvain Md Inc | Internal Medicine | 4060 Fourth Ave, Suite 500, San Diego, CA 92103-2116 | 2010-08-03 |
| 1508170564 | Emily Dyson Scott Md F A C C Inc | Internal Medicine | 4060 Fourth Ave, Suite 500, San Diego, CA 92103-2116 | 2010-08-02 |
| 1437481942 | Jeffrey R. Toman, M.d., P.C. | Colon & Rectal Surgery | 4060 Fourth Ave, Suite 510, San Diego, CA 92103-2116 | 2010-02-08 |
| 1497997472 | Jess Aaron Zlotnik | Psychologist | 4060 Fourth Ave, Suite 615, San Diego, CA 92103-2116 | 2009-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528610870 | Josephine Hoa Ngoc Mai | Physician Assistant | 3050 Rue Dorleans Unit 291, San Diego, CA 92110-5904 | 2019-07-16 |
| 1962966309 | Tashina Jessica Kraintz | Physician Assistant | 10431 Caminito Alvarez, San Diego, CA 92126-5838 | 2019-01-30 |
| 1801314042 | Erika Dimitra Couris | Physician Assistant | 3969 Fourth Ave, #301, San Diego, CA 92103-9210 | 2017-09-08 |
| 1871859421 | Lisa Nakhleh Boyd | Physician Assistant | 2999 Health Center Drive, San Diego, CA 92123 | 2012-04-09 |
| 1760759104 | Brandon William Schroth | Physician Assistant | 357051 Nasni, Commander Naval Air Forces, San Diego, CA 92135-7051 | 2011-11-30 |
| 1891080750 | Jennifer K Nguyen | Physician Assistant | 1466 Mariposa Street, San Diego, CA 92114-3612 | 2011-06-17 |
| 1942510698 | Laurie Anne Reeves | Physician Assistant | 6367 Alvardo Ct., Suite #200, San Diego, CA 92120 | 2010-10-15 |
| 1568783108 | Monica Gable | Physician Assistant | 2929 Health Center Dr., San Diego, CA 92123-7741 | 2010-06-17 |
| 1932422698 | Debbie Lo Flores | Physician Assistant | 5030 Camino De La Siesta Ste 204, San Diego, CA 92108-3118 | 2010-03-10 |
| 1801125034 | Lindsey R Hayes | Physician Assistant | Quentin Roosevelt Blvd, Building 8, San Diego, CA 92135-7051 | 2009-12-17 |
| Find all providers in SAN DIEGO | ||||
Please comment or provide details below to improve the information on MELISSA JANOVITCH.
| 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.