MR. JOSE ROBERTO MELENDRES (NPI# 1689126963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689126963 |
| Entity Type | Individual |
| Full Name | MR. JOSE ROBERTO MELENDRES |
| Credential | R.N. |
| Practice Address |
10196 Countryside Way Sacramento CA 95827-2463 |
| Practice Telephone | 9164761688 |
| Practice Fax Number | 9162669423 |
| Mailing Telephone | 9164761688 |
| Mailing Fax Number | 9162669423 |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
RN763451 | CA | Nursing Service Providers |
| N | 163WW0000X |
Registered Nurse Specialization: Wound Care |
10221411 | CA | Nursing Service Providers |
| Street Address |
10196 COUNTRYSIDE WAY |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95827-2463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275170235 | Amy Braley | Occupational Therapist | Love Joy Adhc, 10293 Rockingham Dr, Sacramento, CA 95827 | 2019-12-09 |
| 1164078598 | Theresa Marie Reich | Home Health Aide | 9819 Lebra Avenue, Sacramento, CA 95827 | 2019-08-12 |
| 1790257475 | Elissa Beth Crandall | Counselor | 3353 Bradshaw Rd Ste 112, Sacramento, CA 95827 | 2018-12-19 |
| 1649746900 | Christopher Avery Di Domenico | Counselor | North Site: 4441 Auburn Blvd, Suite E, Sacramento, CA 95827 | 2018-10-15 |
| 1285156661 | Keith Ramon Blakely | Counselor | 9738 Lincoln Village, Sacramento, CA 95827 | 2017-07-07 |
| 1376065755 | Julianne Marlene Divirgilio | Counselor | 9738 Lincoln Village Dr., Sacramento, CA 95827 | 2017-07-07 |
| 1275981409 | Carl Phillips Jr. | Counselor | 2819 Pepper Oaks Dr, Sacramento, CA 95827 | 2016-05-27 |
| 1316335581 | Nancy Khun | Counselor | 3990 Branch Center Rd., Sacramento, CA 95827 | 2014-12-22 |
| 1750623385 | Davidshka Lynel Shavers | Counselor | 3340 Viking Dr, Suite 114, Sacramento, CA 95827 | 2013-03-21 |
| 1114263803 | John Kwamena Bankas | Marriage & Family Therapist | 9837 Folsom Blvd., Ste. F, Sacramento, CA 95827 | 2012-12-27 |
| Find all providers in zip 95827 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316597404 | Anusha Lal | Registered Nurse | 2551 Chuck Yeager Cir, Sacramento, CA 95834-4013 | 2019-09-19 |
| 1215409180 | Claire Josephson | Registered Nurse | 170 Summer Stroll Cir, Sacramento, CA 95823-6749 | 2018-12-17 |
| 1083131908 | Jody Ellen Sytten | Registered Nurse | 2890 Gateway Oaks, Suite 250, Sacramento, CA 95833 | 2017-08-23 |
| 1588181291 | Nora Catherine Myer | Registered Nurse | 2890 Gateway Oaks Suite 250, Sacramento, CA 95833 | 2017-08-23 |
| 1245678960 | Michelle Adams | Registered Nurse | 2275 45th St, Sacramento, CA 95817 | 2013-06-05 |
| 1053568899 | Sylvia Gibson | Registered Nurse | 7652 24th St, Sacramento, CA 95832-1337 | 2008-08-22 |
| 1427224336 | Roxann Elizabeth Mekus | Registered Nurse | 1400 London St, Sacramento, CA 95822-3404 | 2008-05-01 |
| 1568632412 | Kris J Meier | Registered Nurse | 7000 Bowling Dr, Suite 800, Sacramento, CA 95823 | 2008-03-06 |
| 1780889675 | Lisa Lynn Beard | Registered Nurse | 4741 Moorpark Way, Sacramento, CA 95842-3146 | 2007-06-19 |
| 1376625582 | Heidi Alahn Rose | Registered Nurse | 1495 River Park Dr Ste 200, Sacramento, CA 95815-4517 | 2006-10-19 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95827 |
Please comment or provide details below to improve the information on MR. JOSE ROBERTO MELENDRES.
| 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.