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

Melita Talene Petrossian, MD

Individual provider Neurology Physician · NPI 1790812162

Melita Talene Petrossian, MD is a Neurology in Santa Monica, California. Graduated from University of California, San Francisco School of Medicine in 2006, 20 years ago. Practices with Providence Saint Johns Medical Foundation, a 285-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
20
Trained at
University of California, San Francisco School of Medicine
Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1301 20th St Ste 150
Santa Monica, CA 90404-2050
Phone: (310) 582-7433
Fax: (310) 582-7495
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2125 Arizona Ave, Santa Monica, CA 90404-1337 — (310) 582-7450

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence A120954 (CA)

Record details

NPI number1790812162
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 27, 2007
Last updated in NPPESApril 19, 2021
Certification dateApril 19, 2021

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolUNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Providence Saint Johns Medical Foundation — 285 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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