MARTIN MELGOZA
NPI 1366734337
Psychologist in Auburn, CA

Active since May 10, 2011PECOS EnrolledAccepts Medicare Assignment
11670 ATWOOD RD, AUBURN, CA 95603(530) 887-2800(530) 887-2834 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Martin Melgoza NPPES

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

MARTIN MELGOZA (NPI 1366734337) is an individual psychologist in Auburn, California, licensed in California (31893) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1366734337
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMARTIN MELGOZA
Location Address11670 ATWOOD RDAuburn, CA 95603-9522
Mailing Address11670 Atwood RdAuburn, CA 95603-9522 · (916) 692-0510
Fax(530) 887-2834
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMay 10, 2011
Last NPPES UpdateOctober 16, 2024
NPPES CertifiedOctober 16, 2024
✔ NPI 1366734337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in CA · 31893
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
11670 ATWOOD RD, Auburn, CA 95603

Secondary Practice Locations 2

Location 13990 Branch Center RdSacramento, CA 95827-3809 · Phone (916) 596-4186
Location 28801 Folsom Blvd Ste 265Sacramento, CA 95826-3250 · Phone (916) 407-4943

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Martin Melgoza is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658761820
PECOS Enrollment IDI20211201002687
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.

Medicare Billing Reassignment

Medicare enrollment records show Martin Melgoza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
11670 ATWOOD RD
Auburn, CA 95603
  • Reassigned Medicare billing, California enrollment
  • 87 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

Dental Hygienist
11670 ATWOOD RD
AUBURN, CA 95603
Nurse Practitioner (Family)
11670 ATWOOD RD
AUBURN, CA 95603
Dental Hygienist
11670 ATWOOD RD
AUBURN, CA 95603
Nurse Practitioner (Family)
11670 ATWOOD RD
AUBURN, CA 95603
Clinic/Center (Federally Qualified Health Center (FQHC))
11670 ATWOOD RD
AUBURN, CA 95603
Clinic/Center
11670 ATWOOD RD
AUBURN, CA 95603
Counselor (Mental Health)
11670 ATWOOD RD
AUBURN, CA 95603
Psychiatry & Neurology (Child & Adolescent Psychiatry)
11670 ATWOOD RD
AUBURN, CA 95603

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 Martin Melgoza's NPI number?

The NPI number for Martin Melgoza is 1366734337. It was assigned to this individual provider in the NPPES registry on May 10, 2011.

Where is Martin Melgoza located?

Martin Melgoza practices at 11670 Atwood Rd, Auburn, CA 95603. The listed phone number is (530) 887-2800.

What is Martin Melgoza's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Martin Melgoza enrolled in Medicare?

Yes. Martin Melgoza is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Martin Melgoza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Martin Melgoza reassigns Medicare benefits to Chapa-De Indian Health Program, Inc. (Auburn, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Martin Melgoza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Martin Melgoza was last updated on October 16, 2024. 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.