Healthcare Provider Details

I. General information

NPI: 1518085539
Provider Name (Legal Business Name): RAUN D. MELMED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4848 E CACTUS RD STE 940
SCOTTSDALE AZ
85254-4164
US

IV. Provider business mailing address

6160 CORNERSTONE CT E STE 100
SAN DIEGO CA
92121-3724
US

V. Phone/Fax

Practice location:
  • Phone: 480-443-0050
  • Fax: 480-443-4018
Mailing address:
  • Phone: 480-443-0050
  • Fax: 480-443-4018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: NEIL HATTANGADI
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 858-304-6440