| Mr Vladislav Melnichenko, NP | |
|
1711 W Katella Ave, Anaheim, CA 92804-6450 | |
| (714) 400-2959 | |
| Not Available |
| Full Name | Mr Vladislav Melnichenko |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 1711 W Katella Ave, Anaheim, California |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528348273 | NPI | - | NPPES |
| HE356A | Other | CA | NORTHERN MCAR PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | NP21140 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Modern Foot And Ankle Pc | 9830622448 | 2 |
| Sun Medical Group Inc | 8426388810 | 20 |
| Healthier Lifestyle Medical Group Inc | 1355742453 | 6 |
| Agoura Hills Urgentocare Pc | 3476981226 | 13 |
| Firstchoice Clinic Inc | 1456893031 | 2 |
| First Aid Urgent Care Inc | 6709106453 | 15 |
| Entity Name | Sun Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114588704 PECOS PAC ID: 8426388810 Enrollment ID: O20190927001371 |
| Entity Name | Healthier Lifestyle Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902421480 PECOS PAC ID: 1355742453 Enrollment ID: O20210628000698 |
| Entity Name | Firstchoice Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912610775 PECOS PAC ID: 1456893031 Enrollment ID: O20240611002019 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Vladislav Melnichenko, NP 27219 Coyote Bush Ct, Valencia, CA 91381-2117 Ph: (323) 740-7623 | Mr Vladislav Melnichenko, NP 1711 W Katella Ave, Anaheim, CA 92804-6450 Ph: (714) 400-2959 |
Sharuti Dolly Bhatia, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 801 E Katella Ave, Anaheim, CA 92805 Phone: 714-633-6373 | |
Grace Wiryawan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3030 W Ball Rd, Anaheim, CA 92804 Phone: 626-872-9844 | |
Sarah Katharine Cummings, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2411 W La Palma Ave, Anaheim, CA 92801 Phone: 714-876-6041 | |
Ybelynn Carandang Alaan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 801 E Katella Ave, Anaheim, CA 92805 Phone: 714-633-6373 | |
William Camacho, PMHNP-BC, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3350 W Ball Rd, Anaheim, CA 92804 Phone: 714-243-9000 | |
Cristian Cuevas, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5475 E La Palma Ave, Anaheim, CA 92807 Phone: 714-485-0354 | |
Mr. William George Woods, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1211 W La Palma Ave Ste 207, Anaheim, CA 92801 Phone: 714-772-8282 Fax: 714-772-6493 |