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

Mrs. Melissa Joyann Fortner, PAC

Individual provider Medical Physician Assistant · NPI 1972584209

Mrs. Melissa Joyann Fortner, PAC is a Medical Physician Assistant in San Diego, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

4290 Polk Ave
San Diego, CA 92105-1524
Phone: (619) 563-0507
Fax: (619) 563-0015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA15119 (CA)

Record details

NPI number1972584209
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedNovember 14, 2005
Last updated in NPPESJuly 13, 2026

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