MR. GINO SATOSHI MELILLO FNP PMHNP - NPI 1306524343 - Nurse Practitioner in Redondo Beach, CA

Q: What is Gino Melillo's NPI number?

The NPI number for Gino Melillo is 1306524343. It was assigned to this individual provider in the NPPES registry on July 10, 2023.

Q: What is Gino Melillo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Gino Melillo was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

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About Mr. Gino Satoshi Melillo Fnp Pmhnp NPPES

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

MR. GINO SATOSHI MELILLO FNP PMHNP (NPI 1306524343) is an individual family provider in Redondo Beach, California, licensed in California (NP95022918) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1306524343

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. GINO SATOSHI MELILLOCredential: FNP PMHNP

Location Address514 N PROSPECT AVE STE 103Redondo Beach, CA 90277-3037

Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-8707

Phone(310) 937-8555

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 10, 2023

Last NPPES UpdateNovember 1, 20233 updates tracked since enumeration

NPPES CertifiedNovember 1, 2023

✔ NPI 1306524343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · NP95022918

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 95022918 (CA)

514 N PROSPECT AVE STE 103, Redondo Beach, CA 90277

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Gino Satoshi Melillo Fnp Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294189536

PECOS Enrollment IDI20230920003465

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90277 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 10

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

KATHERINE PANG

Family Medicine