James Dale Mellema in Los Gatos - Specialist
James Dale Mellema - NPI 1376582528
James Dale Mellema is a Specialist in Los Gatos, California. James Dale Mellema practices all healthcare services and medical treatments related to Specialist. The NPI Number for James Dale Mellema is 1376582528. The last update date is 2007-07-08.
James Dale Mellema's current location address is 812 Pollard Rd, Los Gatos, California. You can contact this provider via phone number 4083741212 and fax number 4083744160. The mailing address for James Dale Mellema is 812 Pollard Rd, Los Gatos, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Dale Mellema |
|---|---|
| Address | 812 Pollard Rd, Los Gatos, California |
| Phone Number | 4083741212 |
| Fax Number | 4083744160 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1376582528 |
|---|---|
| Provider Enumeration Date | 2006-06-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 812 Pollard Rd |
|---|---|
| City | Los Gatos |
| State | California (CA) |
| Post Code | 950321420 |
| Phone Number | 4083741212 |
| Fax Number | 4083744160 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | AO22280 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique identification code assigned to James Dale Mellema by the Centers for Medicare & Medicaid Services?
The James Dale Mellema has been issued the NPI (National Provider Identifier) 1376582528. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the James Dale Mellema located?
The James Dale Mellema is located at 812 Pollard Rd, Los Gatos, CA 950321420.
What is James Dale Mellema's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for James Dale Mellema is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
When did James Dale Mellema receive its 1376582528 assignment?
The James Dale Mellema was assigned its 1376582528 on 2006-06-05, which is the date when this unique identifier was issued to the organization.
As of what date were the James Dale Mellema's details last updated?
The information pertaining to the James Dale Mellema, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA