MR. VLADISLAV MELNICHENKO (NPI# 1528348273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528348273 |
| Entity Type | Individual |
| Full Name | MR. VLADISLAV MELNICHENKO |
| Credential | NP |
| Practice Address |
625 S Fair Oaks Ave Ste 245 Pasadena CA 91105-2665 |
| Practice Telephone | 6262299865 |
| Practice Fax Number | 6262299867 |
| Mailing Telephone | 6262299865 |
| Mailing Fax Number | 6262299867 |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2014-04-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
NP21140 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NORTHERN MCAR PIN | HE356A | 01 |
| Street Address |
625 S FAIR OAKS AVE STE 245 |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-2665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366516478 | Steven P Doan | Internal Medicine | 625 S Fair Oaks Ave Ste 245, Pasadena, CA 91105-2665 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
| 1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
| 1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
| Find all providers in zip 91105 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457823338 | Balem Hope Choi | Nurse Practitioner | 168 S Sierra Madre Blvd # 117, Pasadena, CA 91107-4150 | 2018-12-18 |
| 1063998284 | Renata Nogueira Costa | Nurse Practitioner | 1567 Locust St, Pasadena, CA 91106-1518 | 2018-07-11 |
| 1356837496 | Jay Kim | Nurse Practitioner | 87 N Wilson Ave Apt 1, Pasadena, CA 91106-2318 | 2018-07-02 |
| 1326436254 | Shannon Liedquist Tieman | Nurse Practitioner | 3708 Moutain Road, Pasadena, MD 21122-2025 | 2014-12-30 |
| 1013334218 | Danielle Cheplowitz | Nurse Practitioner | 24 Magothy Beach Rd, Pasadena, MD 21122-4414 | 2014-03-25 |
| 1558672931 | Lizbeth Santana-blaise | Nurse Practitioner | 5050 Crenshaw, #200, Pasadena, TX 77505-3139 | 2010-06-30 |
| 1043350085 | Gina Joanne Digiovanni | Nurse Practitioner | 351 S. Hudson, Suite Number 130, Pasadena, CA 91109 | 2007-02-07 |
| 1497719561 | Melissa Fisher | Nurse Practitioner | 8015 Apple Valley Dr, Pasadena, MD 21122-4174 | 2006-04-14 |
| 1639179104 | Vanessa Cynthia Thomas | Nurse Practitioner | 8028 Ritchie Hwy, Ste 210, Pasadena, MD 21122-1075 | 2005-07-27 |
| 1194369843 | Ye Rae Ahn | Nurse Practitioner | 354 Mountain Rd Ste G, Pasadena, MD 21122-1158 | 2019-11-05 |
| Find all providers in PASADENA | ||||
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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.