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

Antonio Melgoza

Individual provider Physical Therapist · NPI 1093497190

Antonio Melgoza is a Physical Therapist in Private Practice in Santa Monica, California. Qualified in 2023, 3 years ago. Practices with The Balance Lab Physical Therapy and Fitness PC, an 11-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
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Practice location Address checks out

2818 Santa Monica Blvd
Santa Monica, CA 90404-2410
Phone: (424) 272-9589
Fax: (424) 272-9599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (CA)

Record details

NPI number1093497190
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 7, 2023
Last updated in NPPESAugust 7, 2023
Certification dateAugust 7, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice The Balance Lab Physical Therapy And Fitness Pc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Santa Monica