MELISSA ITSARA
NPI 1417375528
Allergy & Immunology - Allergy in Richmond, CA
About Melissa Itsara NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELISSA ITSARA (NPI 1417375528) is an individual allergy provider in Richmond, California, licensed in California (A140042) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Melissa Itsara is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Melissa Itsara reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Richmond, CA 94801
- Reassigned Medicare billing, California enrollment
- 20,078 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.
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 Melissa Itsara's NPI number?
The NPI number for Melissa Itsara is 1417375528. It was assigned to this individual provider in the NPPES registry on April 4, 2014.
Where is Melissa Itsara located?
Melissa Itsara practices at 901 Nevin Ave Bldg 2, Richmond, CA 94801. The listed phone number is (510) 910-5120.
What is Melissa Itsara's specialty?
The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.
Is Melissa Itsara enrolled in Medicare?
Yes. Melissa Itsara is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Melissa Itsara's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Itsara reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, 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 Melissa Itsara'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 Melissa Itsara was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
# Melissa Itsara · NPI 1417375528
Allergy physician in Richmond, California. Individual provider, active in the CMS NPPES registry since April 4, 2014.
## Identity
- **NPI:** 1417375528 (Entity type: Individual)
- **Enumerated:** April 4, 2014
- **Primary specialty:** Allergy & Immunology - Allergy · taxonomy 207KA0200X
- **State license:** A140042 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 901 NEVIN AVE BLDG 2, Richmond, CA 94801-3143
- **Phone:** (510) 910-5120
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1235226531, Richmond, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1417375528) · Data from the CMS NPPES public registry.