Melody Fatehi
Melody Fatehi is a Physician Assistant in Newport Beach, California. Qualified in 2020, 6 years ago. Practices with Brentview Medical Inc, a 10-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 6
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
2507 Eastbluff DrNewport Beach, CA 92660-3504
Phone: (949) 200-1655
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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 1178024 (CA) |
|---|
Record details
| NPI number | 1174120943 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 5, 2020 |
| Last updated in NPPES | February 18, 2021 |
| Certification date | February 18, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Brentview Medical Inc — 10 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 6 on file with Medicare |
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