MELISSA MARIE REIDER-DEMER (NPI# 1982790085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982790085 |
| Entity Type | Individual |
| Full Name | MELISSA MARIE REIDER-DEMER |
| Credential | PNP |
| Practice Address |
300 Medical Plaza B200 Los Angeles CA 90095-6062 |
| Mailing Address |
5767 W Century Blvd Ste 400 Los Angeles CA 90045-5631 |
| Practice Telephone | 3107941195 |
| Practice Fax Number | 3107947491 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
NPF10002 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NP0100020 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4650 W Sunset Blvd, Ms# 82, Los Angeles, CA 900276062 | 3236692471 | 3236672019 |
| 4650 W Sunset Blvd # 82, Los Angeles, CA 900276062 | 3236692471 | 3236672019 |
| Street Address |
300 MEDICAL PLAZA B200 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90095-6062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154355758 | Nanette Caballes Fong | Registered Nurse | 300 Medical Plaza B200, Los Angeles, CA 90095-3075 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
| 1952926263 | Georgina Parra | Student in an Organized Health Care Education/Training Program | 10833 Le Conteave, Los Angeles, CA 90095 | 2020-06-11 |
| 1609403575 | Yagmur Muftuoglu | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 | 2020-03-23 |
| 1619438173 | Brandon Covington Smith | Student in an Organized Health Care Education/Training Program | 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 | 2019-03-27 |
| 1184184913 | Alexander Daniel Yuen | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 | 2019-03-19 |
| 1790266369 | Dana Saifan | Student in an Organized Health Care Education/Training Program | 1000 Veteran Avenue, Los Angeles, CA 90095 | 2018-08-22 |
| 1427549146 | Courtney Renee' Real | Registered Nurse | 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 | 2018-05-29 |
| 1932605094 | Akash Atul Shah | Student in an Organized Health Care Education/Training Program | Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 | 2018-04-05 |
| 1316443435 | Dane Jensen Brodke | Orthopaedic Surgery | 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 | 2018-04-05 |
| 1477058824 | Thomas William Gaither Castellanos | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Urology, Los Angeles, CA 90095 | 2018-03-28 |
| Find all providers in zip 90095 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083260087 | Liezl Ann Bobila Bautista | Nurse Practitioner | 3317 Bagley Ave Apt 6, Los Angeles, CA 90034-2866 | 2019-08-15 |
| 1780155085 | Amy Parker | Nurse Practitioner | 1160 N Westmoreland Ave, Los Angeles, CA 90029-1909 | 2018-12-12 |
| 1285100172 | Kellie Ann Loera | Nurse Practitioner | 4650 W Sunset Blvd # Ms, Los Angeles, CA 90027-6062 | 2018-10-17 |
| 1629553649 | Jamie Duly | Nurse Practitioner | 4650 W Sunset Blvd # 66, Los Angeles, CA 90027-6062 | 2018-09-25 |
| 1942788047 | Annie Lee Thomson | Nurse Practitioner | 757 Westwood Plz Rm 5411, Los Angeles, CA 90095-8358 | 2018-07-31 |
| 1205347739 | Carrie Locken Collins | Nurse Practitioner | 4650 W Sunset Blvd # 170, Los Angeles, CA 90027-6062 | 2017-10-24 |
| 1053821553 | Kimberly Brooke Adams | Nurse Practitioner | 3131 Bagley Ave Apt 7, Los Angeles, CA 90034-2931 | 2017-10-10 |
| 1013360213 | Kelly Barth | Nurse Practitioner | 1880 Century Park E, Suite 425, Los Angeles, CA 90067-1600 | 2016-07-22 |
| 1003261272 | Laura Elvira Espinosa | Nurse Practitioner | 2831 Vaquero Ave, Los Angeles, CA 90032-3008 | 2016-04-25 |
| 1689059016 | Sandra Moon | Nurse Practitioner | 3810 Wilshire Blvd Apt 2211, #2211, Los Angeles, CA 90010-3230 | 2015-07-27 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90095 |
Please comment or provide details below to improve the information on MELISSA MARIE REIDER-DEMER.
| 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.