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EDISON VICTOR DE MELLO MD PHD
NPI 1053532044
Family Medicine in Santa Monica, CA

Active since May 01, 2007Opted out of Medicare · through Jul 21, 2027
520 ARIZONA AVENUE, SANTA MONICA, CA 90401(310) 451-8880(310) 451-8803 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edison Victor De Mello Md Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDISON VICTOR DE MELLO MD PHD (NPI 1053532044) is an individual family medicine provider in Santa Monica, California, licensed in California (N78519) and active in the NPI registry since May 2007. He has opted out of Medicare through July 21, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1053532044
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameEDISON VICTOR DE MELLOCredential: MD PHD
Location Address520 ARIZONA AVENUESanta Monica, CA 90401
Mailing Address520 Arizona AvenueSanta Monica, CA 90401 · (310) 451-8880 · Fax (310) 451-8803
Phone(310) 451-8880
Fax(310) 451-8803
Sole ProprietorNo
Enumeration DateMay 1, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1053532044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · N78519
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
520 ARIZONA AVENUE, Santa Monica, CA 90401
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Edison Victor De Mello Md Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 21, 2015 through July 21, 2027.

Opt-Out Effective DateJuly 21, 2015
Opt-Out In Effect ThroughJuly 21, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EUGENE IWASA LAC
Acupuncturist
520 ARIZONA AVENUE
SANTA MONICA, CA 90401
Los Angeles County (310) 451-8880
DR. CARR INTEGRATIVE PHYSICAL THERAPY, INC.
Clinic/Center (Physical Therapy)
520 ARIZONA AVENUE
SANTA MONICA, CA 90401
Los Angeles County (323) 304-1602

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edison De Mello's NPI number?

The NPI number for Edison De Mello is 1053532044. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is Edison De Mello located?

Edison De Mello practices at 520 Arizona Avenue, Santa Monica, CA 90401. The listed phone number is (310) 451-8880.

What is Edison De Mello's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Edison De Mello enrolled in Medicare?

No. Edison De Mello has opted out of Medicare through July 21, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Edison De Mello was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.