DR. KENT E MELLERSTIG MD
NPI 1649253659
Plastic Surgery in Santa Rosa, CA

Active since November 23, 2005
1043 SLATE DR, SANTA ROSA, CA 95405(707) 527-7211(707) 538-7044 Get Directions Write a Review

NPPES record last updated: October 4, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kent E Mellerstig Md NPPES

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

DR. KENT E MELLERSTIG MD (NPI 1649253659) is an individual plastic surgery provider in Santa Rosa, California, licensed in California (G18760) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1649253659
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. KENT E MELLERSTIGCredential: MD
Location Address1043 SLATE DRSanta Rosa, CA 95405-8841
Mailing Address1043 Slate DrSanta Rosa, CA 95405-8841 · (707) 527-7211 · Fax (707) 538-7044
Fax(707) 538-7044
Sole ProprietorYes
Enumeration DateNovember 23, 2005
Last NPPES UpdateOctober 4, 2011
NPI 1649253659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in CA · G18760
Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

1043 SLATE DR, Santa Rosa, CA 95405

Other Identifiers 1

Medicare ID-Type Unspecified00G187600

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 Kent Mellerstig's NPI number?

The NPI number for Kent Mellerstig is 1649253659. It was assigned to this individual provider in the NPPES registry on November 23, 2005.

Where is Kent Mellerstig located?

Kent Mellerstig practices at 1043 Slate Dr, Santa Rosa, CA 95405. The listed phone number is (707) 527-7211.

What is Kent Mellerstig's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

When was this NPI record last updated?

The NPPES record for Kent Mellerstig was last updated on October 4, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.