Healthcare Provider Details

I. General information

NPI: 1043116429
Provider Name (Legal Business Name): MELANIE WORLEY, DO, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2026
Last Update Date: 10/14/2026
Certification Date: 10/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 PIER VIEW WAY STE H&I
OCEANSIDE CA
92054-2801
US

IV. Provider business mailing address

2244 FARADAY AVE # 149
CARLSBAD CA
92008-7208
US

V. Phone/Fax

Practice location:
  • Phone: 760-300-1479
  • Fax:
Mailing address:
  • Phone: 419-205-0769
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PS0010X
TaxonomySports Medicine (Emergency Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: WORLEY MELANIE
Title or Position: CEO/FOUNDER
Credential: DO
Phone: 419-205-0769