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

Melanie Glenn Anderson, PA-C

Individual provider Physician Assistant · NPI 1639540123

Melanie Glenn Anderson, PA-C is a Physician Assistant in Fountain Valley, California. Qualified in 2015, 11 years ago. Practices with Tien Q Nguyen Inc, a 12-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

17271 Brookhurst St Ste A
Fountain Valley, CA 92708-3701
Phone: (714) 531-2966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 52948 (CA)

Record details

NPI number1639540123
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 9, 2015
Last updated in NPPESOctober 21, 2024
Certification dateOctober 21, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Tien Q Nguyen Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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