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MELISSA ERIN PHUPHANICH MD, MS
NPI 1497252837
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since April 11, 2018PECOS Enrolled
11301 WILSHIRE BLVD # 117, LOS ANGELES, CA 90073(310) 478-3711 Get Directions Write a Review

NPPES record last updated: June 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Melissa Erin Phuphanich Md, Ms NPPES

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

MELISSA ERIN PHUPHANICH MD, MS (NPI 1497252837) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Torrance.

NPPES Registry Identity

NPI1497252837
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMELISSA ERIN PHUPHANICHCredential: MD, MS
Location Address11301 WILSHIRE BLVD # 117Los Angeles, CA 90073
Mailing Address11301 Wilshire Blvd # 117Los Angeles, CA 90073-1003 · (310) 478-3711
Phone(310) 478-3711
Sole ProprietorNo
Enumeration DateApril 11, 2018
Last NPPES UpdateJune 29, 2019
✔ NPI 1497252837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
11301 WILSHIRE BLVD # 117, Los Angeles, CA 90073
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Secondary Practice Location 1

Location 11000 W Carson StTorrance, CA 90502-2004 · Phone (310) 222-2700

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Erin Phuphanich Md, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 8

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

RYAN MCCARTY M.D.
Physical Medicine & Rehabilitation (Pain Medicine)
11301 WILSHIRE BLVD # 117
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
AGNES SORIANO WALLBOM M.D., M.S.
Physical Medicine & Rehabilitation
11301 WILSHIRE BLVD # 117, GLAVAHS DEPT PM&R
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
BERTHEL POWELL BA/RKT
Kinesiotherapist
11301 WILSHIRE BLVD # 117
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
WEST LOS ANGELES VA
Rehabilitation Hospital
11301 WILSHIRE BLVD # 117
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
MISS SHANA SCHULLER FRIEDMAN OTR
Occupational Therapist
11301 WILSHIRE BLVD # 117
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
NICOLE MATEO LICUP NAM NP
Nurse Practitioner (Primary Care)
11301 WILSHIRE BLVD # 117
LOS ANGELES, CA 90073
Los Angeles County (562) 261-7638
DR. DAVID ARTHUR BENTON D.O.
Physical Medicine & Rehabilitation
11301 WILSHIRE BLVD # 117
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711
MRS. DEBORAH LYNN CORNWELL OTR/L
Occupational Therapist
11301 WILSHIRE BLVD # 117
LOS ANGELES, CA 90073
Los Angeles County (310) 478-3711

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 Phuphanich's NPI number?

The NPI number for Melissa Phuphanich is 1497252837. It was assigned to this individual provider in the NPPES registry on April 11, 2018.

Where is Melissa Phuphanich located?

Melissa Phuphanich practices at 11301 Wilshire Blvd # 117, Los Angeles, CA 90073. The listed phone number is (310) 478-3711.

What is Melissa Phuphanich's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Melissa Phuphanich enrolled in Medicare?

Yes. Melissa Phuphanich is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Melissa Phuphanich was last updated on June 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.