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

Melitza Mejia-Centeno, PA

Individual provider Physician Assistant · NPI 1669097630

Melitza Mejia-Centeno, PA is a Physician Assistant in Salt Lake City, Utah. Qualified in 2021, 5 years ago. Practices with Mendocino Community Health Clinic Inc, a 58-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

375 S Chipeta Way Ste A
Salt Lake City, UT 84108-1261
Phone: (801) 585-0187
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 333 Laws Ave, Ukiah, CA 95482-6540 — (707) 468-1010

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA68368 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1669097630
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 15, 2020
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mendocino Community Health Clinic Inc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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