Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Thomas Melendez, DO

Individual provider Emergency Medicine Physician · NPI 1104403252

Andrew Thomas Melendez, DO is an Emergency Medicine in Manteca, California. Qualified in 2021, 5 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
5
Licensed in
CT
In the registry since
2021
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1777 W Yosemite Ave
Manteca, CA 95337-5187
Phone: (209) 825-3555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4601 Dale Rd, Modesto, CA 95356-9718 — (209) 735-6800

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 78226 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104403252
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 25, 2021
Last updated in NPPESSeptember 4, 2025
Certification dateSeptember 4, 2025
Mailing address4601 Dale Rd, Modesto, CA 95356-9718

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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