JESSE S MELLEMA
NPI 1891590329
Physical Therapist - Orthopedic in Huntington Beach, CA

Active since February 18, 2025Accepts Medicare Assignment
16561 BOLSA CHICA ST STE 100, HUNTINGTON BEACH, CA 92649(714) 364-1313 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1891590329
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameJESSE S MELLEMA
Location Address16561 BOLSA CHICA ST STE 100Huntington Beach, CA 92649-3594
Mailing Address16681 Lynn Ln Apt AHuntington Beach, CA 92649-3461 · (714) 334-6685
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 18, 2025
NPPES CertifiedFebruary 18, 2025
NPI 1891590329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License Licensed in CA · 307646
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
16561 BOLSA CHICA ST STE 100, Huntington Beach, CA 92649

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

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.

PECOS PAC ID4587185038
PECOS Enrollment IDI20250312003643

Other Providers at the Same Location NPPES

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

Physical Therapist
16561 BOLSA CHICA ST STE 100
HUNTINGTON BEACH, CA 92649

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.

When was this NPI record last updated?

The NPPES record for Jesse Mellema was last updated on February 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.