IndividualActive
Kent Mellerstig, MD
NPI 1649253659 · Plastic Surgery Physician · Santa Rosa, CA
Kent Mellerstig, MD is a Plastic Surgery Physician provider in Santa Rosa, CA (NPI 1649253659).
Provider details
- NPI number
- 1649253659
- Entity type
- Individual
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- G18760 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1043 Slate Dr
Santa Rosa, CA 95405-8841
Phone: (707) 527-7211
Fax: (707) 538-7044
Street-level locationGet directions
Mailing address
1043 Slate Dr
Santa Rosa, CA 95405-8841
Registry dates
- Enumerated
- 2005-11-23
- Last updated
- 2011-10-04
Frequently asked questions
- What is Kent Mellerstig's NPI number?
- Kent Mellerstig's National Provider Identifier (NPI) is 1649253659, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kent Mellerstig's specialty?
- Kent Mellerstig is listed in the NPPES registry with a primary specialty of Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Kent Mellerstig located?
- Kent Mellerstig's practice location on file with NPPES is 1043 Slate Dr, Santa Rosa, CA 95405-8841.
- What is Kent Mellerstig's phone number?
- The practice phone number listed in the NPPES registry for Kent Mellerstig is (707) 527-7211.
- Is Kent Mellerstig's NPI active?
- Yes — Kent Mellerstig's NPI (1649253659) is active in the NPPES registry as of the last update on 2011-10-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.