MS. MELISSA NASTACIO (NPI# 1982113007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982113007 |
| Entity Type | Individual |
| Full Name | MS. MELISSA NASTACIO |
| Credential | PA-C |
| Practice Address |
1680 E Capitol Expy Ste 10 San Jose CA 95121-1839 |
| Mailing Address |
5633 E Leitner Dr Coral Springs FL 33067-2048 |
| Practice Telephone | 4086457096 |
| Mailing Telephone | 9546630752 |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2017-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
54679 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1680 E CAPITOL EXPY STE 10 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95121-1839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548786049 | Thai Hang Thi Tran | Nurse Practitioner | 1680 E Capitol Expy Ste 10, San Jose, CA 95121-1839 | 2017-08-16 |
| 1356986657 | Kinnari Shah | Physician Assistant | 1680 E Capitol Expy Ste 10, San Jose, CA 95121-1839 | 2019-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922669597 | Tracy Filler, Dmd, Inc. | Dentist | 1569 Lexann Drive, Suite 202, San Jose, CA 95121 | 2019-06-25 |
| 1508422775 | Tri Starr Home Care LLC | PACE Provider Organization | 1669 Flanigan Dr., Unit H, San Jose, CA 95121 | 2019-05-14 |
| 1538681325 | Sujata S Gawande | Dentist | 2060 Aborn Rd Ste 125, San Jose, CA 95121 | 2017-07-12 |
| 1871950188 | Keiana Harrington | Behavioral Analyst | 6958 Del Rio Dr., San Jose, CA 95121 | 2016-01-19 |
| 1679812556 | Hien Van Nguyen | Pediatrics | 1675 Burdette Dr, Ste #20, San Jose, CA 95121 | 2013-02-12 |
| 1013290766 | Minh V Nguy | Dentist | 3161 Senter Road, San Jose, CA 95121 | 2011-09-20 |
| 1528388139 | Vu V. Le Chiro | Chiropractor | 1059 E. Capitol Expressway, San Jose, CA 95121 | 2010-06-04 |
| 1205087012 | Lanni Huynh | Acupuncturist | 2936 Aborn Square, San Jose, CA 95121 | 2008-10-10 |
| 1598936676 | Soumya Shivanna | Dentist | 1620 E.capitol Expressway, Suite C, San Jose, CA 95121 | 2008-03-18 |
| 1144434903 | Jeremy D. Lai | Pharmacist | 1569 Lexann Avenue, Suite 104, San Jose, CA 95121 | 2007-05-10 |
| Find all providers in zip 95121 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093254674 | Nina Ya Lai | Physician Assistant | 398 Boynton Ave, Apt 11, San Jose, CA 95117-1258 | 2017-02-16 |
| 1285017335 | John Araujo | Physician Assistant | 1375 Blossom Hill Rd Ste 49, San Jose, CA 95118-3806 | 2015-07-08 |
| 1861834400 | Diana Ngoc Nguyen | Physician Assistant | 667 N White Rd, San Jose, CA 95127-1447 | 2013-07-24 |
| 1790037828 | Jesse Garland Smith | Physician Assistant | 1533 Koch Ln, San Jose, CA 95125-4852 | 2012-10-13 |
| 1902106982 | Metamorph, Inc. | Physician Assistant | 7725 Kilmarnok Dr, San Jose, CA 95135-2140 | 2010-10-25 |
| 1184671901 | Bina P Raghavan | Physician Assistant | 6260 Grand Oak Way, San Jose, CA 95135-2203 | 2006-05-27 |
| 1366064800 | Naomi Ayodele | Physician Assistant | 1691 The Alameda, San Jose, CA 95126-2203 | 2020-05-07 |
| 1780038091 | Whitney Aislinn Porter | Physician Assistant | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2016-04-22 |
| 1902264021 | Briana Gonzalez | Physician Assistant | 225 N Jackson Ave, San Jose, CA 95116-1603 | 2016-02-03 |
| 1952793689 | Ngoclien Thi Nguyen | Physician Assistant | 1569 Lexann Ave Ste 120, San Jose, CA 95121-1794 | 2015-03-04 |
| Find all providers in SAN JOSE | ||||
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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.