Healthcare Provider Details

I. General information

NPI: 1649103037
Provider Name (Legal Business Name): FIKIR B MELESE DNP, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1034 OAK GROVE RD
CONCORD CA
94518-3225
US

IV. Provider business mailing address

1034 OAK GROVE RD
CONCORD CA
94518-3225
US

V. Phone/Fax

Practice location:
  • Phone: 925-890-0356
  • Fax:
Mailing address:
  • Phone:
  • Fax: 925-655-1552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95038318
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: