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GM SALLY MELLGREN, M.D. INC.
NPI 1285637637
Ophthalmology in Oceanside, CA

Active since May 31, 2005
3621 VISTA WAY, OCEANSIDE, CA 92056(760) 757-1144(760) 721-7701 Get Directions Write a Review

NPPES record last updated: April 25, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gm Sally Mellgren, M.d. Inc. NPPES

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

GM SALLY MELLGREN, M.D. INC. (NPI 1285637637) is a healthcare organization registered as an ophthalmology in Oceanside, California and active in the NPI registry since May 2005. The organization lists Joanne R Roper, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1285637637
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameGM SALLY MELLGREN, M.D. INC.
Location Address3621 VISTA WAYOceanside, CA 92056-4522
Mailing Address3621 Vista WayOceanside, CA 92056-4522 · (760) 757-1144 · Fax (760) 721-7701
Phone(760) 757-1144
Fax(760) 721-7701
Organization SubpartNo
Authorized OfficialJoanne R RoperPractice Administrator · (760) 757-1144
Enumeration DateMay 31, 2005
Last NPPES UpdateApril 25, 2012
✔ NPI 1285637637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · G53485
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
3621 VISTA WAY, Oceanside, CA 92056
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Other Identifiers 7

Medicaid00G534850CA
OtherZZZ07175ZCA · Blue Shield Of California
Other33-0241763ACA · Healthnet
Medicare UPINA93231
Medicare ID-Type UnspecifiedW14638Medicare Provider Number
Medicare ID-Type UnspecifiedCS0760Medicre Rrr
Other========= 0016CA · Cigna Healthcare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

DR. MICHAEL L. LONG O.D.
Optometrist
3621 VISTA WAY
OCEANSIDE, CA 92056
San Diego County (760) 757-1144
ASHA S.D. NUTHI D.O.
Ophthalmology (Retina Specialist)
3621 VISTA WAY
OCEANSIDE, CA 92056
San Diego County (760) 757-1144
DANA CASEY CHAN MD
Ophthalmology
3621 VISTA WAY
OCEANSIDE, CA 92056
San Diego County (760) 757-1144

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 Gm Sally Mellgren, M.D. Inc.'s NPI number?

The NPI number for Gm Sally Mellgren, M.D. Inc. is 1285637637. It was assigned to this organization in the NPPES registry on May 31, 2005.

Where is Gm Sally Mellgren, M.D. Inc. located?

Gm Sally Mellgren, M.D. Inc. is located at 3621 Vista Way, Oceanside, CA 92056. The listed phone number is (760) 757-1144.

What is Gm Sally Mellgren, M.D. Inc.'s specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Gm Sally Mellgren, M.D. Inc. was last updated on April 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.