Provider Demographics
NPI:1861610578
Name:ARCIAGA, MELISSA KAY (MD)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:KAY
Last Name:ARCIAGA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 SINGINGWOOD LN
Mailing Address - Street 2:
Mailing Address - City:ORINDA
Mailing Address - State:CA
Mailing Address - Zip Code:94563-1210
Mailing Address - Country:US
Mailing Address - Phone:925-254-6711
Mailing Address - Fax:
Practice Address - Street 1:2510 WEBSTER ST
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-2504
Practice Address - Country:US
Practice Address - Phone:510-841-8700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG80708208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice