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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. MELISSA JOYANN FORTNER PAC
NPI 1972584209
Physician Assistant - Medical in San Diego, CA

Active since November 14, 2005
4290 POLK AVE, SAN DIEGO, CA 92105(619) 563-0507(619) 563-0015 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Melissa Joyann Fortner Pac NPPES

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

MRS. MELISSA JOYANN FORTNER PAC (NPI 1972584209) is an individual medical provider in San Diego, California, licensed in California (PA15119) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1972584209
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. MELISSA JOYANN FORTNERCredential: PAC
Location Address4290 POLK AVESan Diego, CA 92105-1524
Mailing Address4290 Polk AveSan Diego, CA 92105-1524 · (619) 563-0507 · Fax (619) 563-0015
Phone(619) 563-0507
Fax(619) 563-0015
Sole ProprietorNo
Enumeration DateNovember 14, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1972584209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA15119
4290 POLK AVE, San Diego, CA 92105
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Other Names 1

Former Name (1)Ms. Melissa Joyann Wilensky

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.

DIANA MARQUARDT MD
Internal Medicine
4290 POLK AVE
SAN DIEGO, CA 92105
San Diego County (619) 563-0507
MARTHA ASUNCION IBARRA
Nurse Practitioner
4290 POLK AVE
SAN DIEGO, CA 92105
San Diego County (619) 563-0507
DR. JENNIFER LYNN POAST D.O.
Internal Medicine
4290 POLK AVE
SAN DIEGO, CA 92105
San Diego County (619) 563-0507
JAMIE MORRISON ALEXANDER PA-C
Physician Assistant
4290 POLK AVE
SAN DIEGO, CA 92105
San Diego County (619) 563-0507
LORRIE STROHECKER MD
Internal Medicine
4290 POLK AVE
SAN DIEGO, CA 92105
San Diego County (619) 563-0507
SAN DIEGO FAMILY CARE
Clinic/Center (Federally Qualified Health Center (FQHC))
4290 POLK AVE
SAN DIEGO, CA 92105
San Diego County (619) 563-0507
MS. MAYA DENISE WALLS RN
Registered Nurse
4290 POLK AVE
SAN DIEGO, CA 92105
San Diego County (691) 563-0507
DR. STEPHANIE P SALO PSYD
Psychologist (Clinical)
4290 POLK AVE
SAN DIEGO, CA 92105
San Diego County (858) 247-2566

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 Fortner's NPI number?

The NPI number for Melissa Fortner is 1972584209. It was assigned to this individual provider in the NPPES registry on November 14, 2005. The provider is also known as Ms. Melissa Joyann Wilensky.

Where is Melissa Fortner located?

Melissa Fortner practices at 4290 Polk Ave, San Diego, CA 92105. The listed phone number is (619) 563-0507.

What is Melissa Fortner's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Melissa Fortner was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.