DR. MELISSA AMORITA BIEWENGA MD
NPI 1700147352
General Practice in San Diego, CA

Active since May 30, 2012PECOS Enrolled
4405 VANDEVER AVE, SAN DIEGO, CA 92120(800) 290-5000 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 23, 2023, Nov 29, 2021 (2 updates tracked since 2021).

About Dr. Melissa Amorita Biewenga Md NPPES

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

DR. MELISSA AMORITA BIEWENGA MD (NPI 1700147352) is an individual general practice provider in San Diego, California, licensed in California (A122243) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Denver.

NPPES Registry Identity

NPI1700147352
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. MELISSA AMORITA BIEWENGACredential: MD
Location Address4405 VANDEVER AVESan Diego, CA 92120-3315
Mailing Address4405 Vandever AveSan Diego, CA 92120-3315
Sole ProprietorNo
Enumeration DateMay 30, 2012
Last NPPES UpdateOctober 23, 20232 updates tracked since enumeration
NPPES CertifiedOctober 23, 2023
NPI 1700147352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in CA · A122243
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X · License DR.0071558 (CO)
4405 VANDEVER AVE, San Diego, CA 92120

Other Names 1

Former Name (1)Melissa Roth

Secondary Practice Location 1

Location 110350 E Dakota AveDenver, CO 80247-1314 · Phone (303) 338-4545

Other Identifiers 1

Other029468CO · Kaiser Commercial Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Melissa Amorita Biewenga Md 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 20

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

Advanced Practice Midwife
4405 VANDEVER AVE
SAN DIEGO, CA 92120
Pathology (Blood Banking & Transfusion Medicine)
4405 VANDEVER AVE
SAN DIEGO, CA 92120
Nurse Anesthetist, Certified Registered
4405 VANDEVER AVE
SAN DIEGO, CA 92120
Psychiatry & Neurology (Psychiatry)
4405 VANDEVER AVE
SAN DIEGO, CA 92120
Pediatrics
4405 VANDEVER AVE
SAN DIEGO, CA 92120
Urology
4405 VANDEVER AVE, UROLOGIC SURGERY
SAN DIEGO, CA 92120
Pediatrics
4405 VANDEVER AVE
SAN DIEGO, CA 92120
Family Medicine
4405 VANDEVER AVE
SAN DIEGO, CA 92120

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 Biewenga's NPI number?

The NPI number for Melissa Biewenga is 1700147352. It was assigned to this individual provider in the NPPES registry on May 30, 2012. The provider is also known as Melissa Roth.

Where is Melissa Biewenga located?

Melissa Biewenga practices at 4405 Vandever Ave, San Diego, CA 92120. The listed phone number is (800) 290-5000.

What is Melissa Biewenga's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Melissa Biewenga enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Melissa Biewenga was last updated on October 23, 2023. 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.