Provider Demographics
NPI:1487971958
Name:VEPA, MELISSA TARANEH (PA-C, RD)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:TARANEH
Last Name:VEPA
Suffix:
Gender:F
Credentials:PA-C, RD
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:TARANEH
Other - Last Name:JAVAHERI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:39400 PASEO PADRE PKWY
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-2310
Mailing Address - Country:US
Mailing Address - Phone:510-248-3088
Mailing Address - Fax:
Practice Address - Street 1:438 W GRAND AVE APT 708
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-2336
Practice Address - Country:US
Practice Address - Phone:718-490-8715
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-23
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered