| Melody Fatehi, | |
|
2507 Eastbluff Dr, Newport Beach, CA 92660-3504 | |
| (949) 200-1655 | |
| Not Available |
| Full Name | Melody Fatehi |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 2507 Eastbluff Dr, Newport Beach, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174120943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1178024 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brentview Medical Inc | 6608990742 | 11 |
| Entity Name | Skinpeccable Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194058578 PECOS PAC ID: 4981740263 Enrollment ID: O20090930000603 |
| Entity Name | Brentview Medical Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447581350 PECOS PAC ID: 6608990742 Enrollment ID: O20100826000754 |
| Entity Name | Bahar Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417274952 PECOS PAC ID: 9335263037 Enrollment ID: O20100902000171 |
| Mailing Address | Practice Location Address |
|---|---|
| Melody Fatehi, 6228 Orange St Apt 9, Los Angeles, CA 90048-4836 Ph: (949) 637-9069 | Melody Fatehi, 2507 Eastbluff Dr, Newport Beach, CA 92660-3504 Ph: (949) 200-1655 |
Chelsea Vilicich, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4631 Teller Ave Ste 100, Newport Beach, CA 92660 Phone: 949-887-7187 |
Elizabeth Koprucki, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2075 San Joaquin Hills Rd, Newport Beach, CA 92660 Phone: 651-373-6604 |
Taylor Thanh-tam Nguyen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1441 Avocado Ave Ste 802, Newport Beach, CA 92660 Phone: 858-554-1212 Fax: 949-620-1222 |
Chelsee Jeanine Brubaker, Physician Assistant Medicare: Medicare Enrolled Practice Location: 2075 San Joaquin Hills Rd, Newport Beach, CA 92660 Phone: 776-936-2668 |
Sally E. Decastro-tilsen, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 Newport Center Dr Ste 701, Newport Beach, CA 92660 Phone: 949-759-8001 Fax: 949-760-3671 |
Jennifer Hong Nguyen, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1441 Avocado Ave Ste 802, Newport Beach, CA 92660 Phone: 949-688-6062 |
Jill Ryan, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1501 Westcliff Dr Ste 201, Newport Beach, CA 92660 Phone: 440-387-3114 |