JESSE S MELLEMA
NPI 1891590329
Physical Therapist - Orthopedic in Huntington Beach, CA
About Jesse S Mellema NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSE S MELLEMA (NPI 1891590329) is an individual orthopedic provider in Huntington Beach, California, licensed in California (307646) and active in the NPI registry since February 2025. He is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jesse S Mellema 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jesse Mellema reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Irvine, CA 92614
- Reassigned Medicare billing, California enrollment
- 36 clinicians in this Medicare group
Los Gatos, CA 95032
- Reassigned Medicare billing, California enrollment
- 1,388 clinicians in this Medicare group
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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jesse Mellema's NPI number?
The NPI number for Jesse Mellema is 1891590329. It was assigned to this individual provider in the NPPES registry on February 18, 2025.
Where is Jesse Mellema located?
Jesse Mellema practices at 16561 Bolsa Chica St Ste 100, Huntington Beach, CA 92649. The listed phone number is (714) 364-1313.
What is Jesse Mellema's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.
Is Jesse Mellema enrolled in Medicare?
Yes. Jesse Mellema 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.
Which organizations bill Medicare for Jesse Mellema's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Mellema reassigns Medicare benefits to 2 organizations: Impt, Inc. (Irvine, CA) and California Luna Care Physical Therapy PC (Los Gatos, CA). Each 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 Jesse Mellema'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 Jesse Mellema was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Jesse S Mellema · NPI 1891590329
Orthopedic provider in Huntington Beach, California. Individual provider, active in the CMS NPPES registry since February 18, 2025.
## Identity
- **NPI:** 1891590329 (Entity type: Individual)
- **Enumerated:** February 18, 2025
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **State license:** 307646 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 16561 BOLSA CHICA ST STE 100, Huntington Beach, CA 92649-3594
- **Phone:** (714) 364-1313
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Impt, Inc. (NPI 1184670804, Irvine, CA); California Luna Care Physical Therapy PC (NPI 1689162166, Los Gatos, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** February 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1891590329) · Data from the CMS NPPES public registry.