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

Mr. Gino Satoshi Melillo, FNPPMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1306524343

Mr. Gino Satoshi Melillo, FNPPMHNP is a Nurse Practitioner in Redondo Beach, California. Qualified in 2022, 4 years ago. Practices as a sole proprietor and offers telehealth. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

514 N Prospect Ave Ste 103
Redondo Beach, CA 90277-3037
Phone: (310) 937-8555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP95022918 (CA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 95022918 (CA)

Record details

NPI number1306524343
Entity typeIndividual (Type 1)
GenderMale
Credentials FNPPMHNP
Sole proprietorYes
NPI enumeratedJuly 10, 2023
Last updated in NPPESNovember 1, 2023
Certification dateNovember 1, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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