Healthcare Provider Details

I. General information

NPI: 1679807994
Provider Name (Legal Business Name): MELISSA PLANAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2009
Last Update Date: 06/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 E MAIN ST STE. 201
GRASS VALLEY CA
95945-5853
US

IV. Provider business mailing address

1730 O ST APT. E
SACRAMENTO CA
95811-6112
US

V. Phone/Fax

Practice location:
  • Phone: 530-263-9497
  • Fax:
Mailing address:
  • Phone: 916-768-4519
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: