John Eric Mellott in Mission Viejo - Physician Assistant
John Eric Mellott - NPI 1023041902
John Eric Mellott is a Physician Assistant in Mission Viejo, California. John Eric Mellott practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for John Eric Mellott is 1023041902. The last update date is 2008-06-27.
John Eric Mellott's current location address is 27700 Medical Center Rd, Mission Viejo, California. You can contact this provider via phone number 9493641400 and fax number 9493654941. The mailing address for John Eric Mellott is 27700 Medical Center Rd, Mission Viejo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Eric Mellott |
|---|---|
| Address | 27700 Medical Center Rd, Mission Viejo, California |
| Phone Number | 9493641400 |
| Fax Number | 9493654941 |
| Sole Proprietor | Y |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1023041902 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2008-06-27 |
Provider Mailing Address Detail
| Address | 27700 Medical Center Rd |
|---|---|
| City | Mission Viejo |
| State | California (CA) |
| Post Code | 926916426 |
| Phone Number | 9493641400 |
| Fax Number | 9493654941 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA16897 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA16897 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to John Eric Mellott by the Centers for Medicare & Medicaid Services?
The John Eric Mellott has been assigned the NPI (National Provider Identifier) 1023041902. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where John Eric Mellott is located?
The John Eric Mellott is situated at the following address: 27700 Medical Center Rd, Mission Viejo, CA, 926916426.
What is John Eric Mellott's specialized field of practice, and what is the corresponding taxonomy classification code?
The John Eric Mellott's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
When did John Eric Mellott receive its 1023041902 assignment?
The John Eric Mellott was assigned its 1023041902 on 2006-07-07, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to John Eric Mellott last refreshed?
The information related to the John Eric Mellott, including its address, specialty, and other relevant details, was last updated on 2008-06-27.