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

Jesse S Mellema

Individual provider Orthopedic Physical Therapist · NPI 1891590329

Jesse S Mellema is a Physical Therapist in Private Practice in Huntington Beach, California. Qualified in 2024, 2 years ago. Practices with California Luna Care Physical Therapy PC, a 773-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2025
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Practice location Address checks out

16561 Bolsa Chica St Ste 100
Huntington Beach, CA 92649-3594
Phone: (714) 364-1313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 307646 (CA)

Record details

NPI number1891590329
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 18, 2025
Last updated in NPPESFebruary 18, 2025
Certification dateFebruary 18, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice California Luna Care Physical Therapy Pc — 773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Huntington Beach