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MELANIE GUSTAVUS MS, CCC-SLP
NPI 1619371085
Speech-Language Pathologist in Antioch, CA

Active since October 14, 2014
5601 DEER VALLEY RD, ANTIOCH, CA 94531(925) 813-6500 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Melanie Gustavus Ms, Ccc-slp NPPES

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

MELANIE GUSTAVUS MS, CCC-SLP (NPI 1619371085) is an individual speech-language pathologist provider in Antioch, California, licensed in California (16692) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1619371085
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMELANIE GUSTAVUSCredential: MS, CCC-SLP
Location Address5601 DEER VALLEY RDAntioch, CA 94531-8577
Mailing Address5601 Deer Valley RdAntioch, CA 94531-8577
Phone(925) 813-6500
Sole ProprietorYes
Enumeration DateOctober 14, 2014
Last NPPES UpdateJanuary 13, 2022
NPPES CertifiedJanuary 13, 2022
✔ NPI 1619371085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in CA · 16692
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
5601 DEER VALLEY RD, Antioch, CA 94531
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melanie Gustavus Ms, Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Permanente Medical Group Inc
27 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

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.

CHUNG M. KUNG MD
Internal Medicine
5601 DEER VALLEY RD
ANTIOCH, CA 94531
Contra Costa County (925) 813-6500
HAI HONG HUANG HUANG
Dietitian, Registered
5601 DEER VALLEY RD
ANTIOCH, CA 94531
Contra Costa County (925) 813-6500
DAVID P. LANGKAMMER MD
Internal Medicine
5601 DEER VALLEY RD
ANTIOCH, CA 94531
Contra Costa County (925) 813-6500
KAISER PERMANENTE
General Acute Care Hospital
5601 DEER VALLEY RD
ANTIOCH, CA 94531
Contra Costa County (925) 813-7058
KAISER FOUNDATION HEALTH PLAN INC
Pharmacy (Community/Retail Pharmacy)
5601 DEER VALLEY RD
ANTIOCH, CA 94531
Contra Costa County (925) 813-6122
DR. SOHRAB SINGH SIDHU MD, MPH, MS
Internal Medicine
5601 DEER VALLEY RD
ANTIOCH, CA 94531
Contra Costa County (925) 532-2721
THAN THAN MD
Internal Medicine
5601 DEER VALLEY RD
ANTIOCH, CA 94531
Contra Costa County (925) 813-6500
JODI KATHERINE BRYNER PHARM.D.
Pharmacist
5601 DEER VALLEY RD
ANTIOCH, CA 94531
Contra Costa County (925) 813-3116

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 Melanie Gustavus's NPI number?

The NPI number for Melanie Gustavus is 1619371085. It was assigned to this individual provider in the NPPES registry on October 14, 2014.

Where is Melanie Gustavus located?

Melanie Gustavus practices at 5601 Deer Valley Rd, Antioch, CA 94531. The listed phone number is (925) 813-6500.

What is Melanie Gustavus's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Melanie Gustavus enrolled in Medicare?

Yes. Melanie Gustavus is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Melanie Gustavus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melanie Gustavus reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, 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 Melanie Gustavus'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 Melanie Gustavus was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.