MELISSA THEPVONGSA
NPI 1750964425
Physician Assistant in Chula Vista, CA

Active since April 30, 2021PECOS EnrolledAccepts Medicare Assignment
765 MEDICAL CENTER CT, CHULA VISTA, CA 91911(619) 616-2100 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 22, 2021, Nov 12, 2021, Apr 30, 2021 (3 updates tracked since 2021).

About Melissa Thepvongsa NPPES

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

MELISSA THEPVONGSA (NPI 1750964425) is an individual physician assistant in Chula Vista, California, licensed in California (59540) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1750964425
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMELISSA THEPVONGSA
Location Address765 MEDICAL CENTER CTChula Vista, CA 91911-6600
Mailing Address765 Medical Center CtChula Vista, CA 91911-6600 · (619) 616-2100
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 30, 2021
Last NPPES UpdateDecember 22, 20213 updates tracked since enumeration
NPPES CertifiedDecember 22, 2021
NPI 1750964425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · 59540
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
765 MEDICAL CENTER CT, Chula Vista, CA 91911

Secondary Practice Locations 2

Location 11000 Vale Terrace DrVista, CA 92084-5218 · Phone (760) 631-5000
Location 28788 Jamacha RdSpring Valley, CA 91977-4035 · Phone (619) 515-2555

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Melissa Thepvongsa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103215827
PECOS Enrollment IDI20211117002559
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91911 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine (Interventional Cardiology)
765 MEDICAL CENTER CT, SUITE 211
CHULA VISTA, CA 91911
Dietitian, Registered
765 MEDICAL CENTER CT
CHULA VISTA, CA 91911
Internal Medicine (Cardiovascular Disease)
765 MEDICAL CENTER CT, #211
CHULA VISTA, CA 91911
Specialist
765 MEDICAL CENTER CT, SUITE 209
CHULA VISTA, CA 91911
Internal Medicine
765 MEDICAL CENTER CT, SUITE 211
CHULA VISTA, CA 91911
Clinic/Center (Radiology, Mobile)
765 MEDICAL CENTER CT
CHULA VISTA, CA 91911
Specialist
765 MEDICAL CENTER CT, SUITE: 201
CHULA VISTA, CA 91911
Radiology (Neuroradiology)
765 MEDICAL CENTER CT, SAN DIEGO IMAGING - CHULA VISTA
CHULA VISTA, CA 91911

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 Thepvongsa's NPI number?

The NPI number for Melissa Thepvongsa is 1750964425. It was assigned to this individual provider in the NPPES registry on April 30, 2021.

Where is Melissa Thepvongsa located?

Melissa Thepvongsa practices at 765 Medical Center Ct, Chula Vista, CA 91911. The listed phone number is (619) 616-2100.

What is Melissa Thepvongsa's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Melissa Thepvongsa enrolled in Medicare?

Yes. Melissa Thepvongsa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Melissa Thepvongsa was last updated on December 22, 2021. 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.