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

Melissa Thepvongsa

Individual provider Physician Assistant · NPI 1750964425

Melissa Thepvongsa is a Physician Assistant in Chula Vista, California. Qualified in 2020, 6 years ago. Practices with Family Health Centers of San Diego Inc, a 297-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

765 Medical Center Ct
Chula Vista, CA 91911-6600
Phone: (619) 616-2100
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Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 8788 Jamacha Rd, Spring Valley, CA 91977-4035 — (619) 515-2555
  • 1000 Vale Terrace Dr, Vista, CA 92084-5218 — (760) 631-5000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 59540 (CA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1750964425
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 30, 2021
Last updated in NPPESDecember 22, 2021
Certification dateDecember 22, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Family Health Centers Of San Diego Inc — 297 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Chula Vista