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

Melody Fatehi

Individual provider Physician Assistant · NPI 1174120943

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 Dr
Newport Beach, CA 92660-3504
Phone: (949) 200-1655
Show map & directions

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 number1174120943
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 5, 2020
Last updated in NPPESFebruary 18, 2021
Certification dateFebruary 18, 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 Brentview Medical Inc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Newport Beach