Individual provider Active NPI

Amaiya Melissa Thompson, PA-C

  • Physician Assistant
  • Beverly Hills, CA
National Provider Identifier
1154627362
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA58134 Issued in CA
Practice address
8767 Wilshire Blvd FL 2
Beverly Hills, CA 90211-2714
Phone
(310) 248-7000
Fax
(310) 248-7033
NPI assigned
Feb 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 58134 CA
Physician Assistant 363A00000X PA58134 CA Primary

Addresses

Primary practice location

8767 Wilshire Blvd FL 2
Beverly Hills, CA 90211-2714

Mailing address

1820 W Orangewood Ave Ste 105
Orange, CA 92868-5052
Phone (703) 310-9495

Other practice location 1

1820 W Orangewood Ave Ste 105
Orange, CA 92868-5052
Phone (703) 310-9495

Other names 1

  • Amaiya Melissa Jackson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, CA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20120731000453 VA Practitioner - Physician Assistant 5294991501 Reassigns benefits to 2 organizations
I20150804005169 DC Practitioner - Physician Assistant 5294991501 Reassigns benefits to 1 organization
I20210422000880 CA Practitioner - Physician Assistant 5294991501 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Howard University College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

8501 Wilshire Blvd
Suite 150
Beverly Hills, CA 90211-3148
Phone (310) 385-3334

8635 W 3Rd St
Suite 465W
Los Angeles, CA 90048-6111
Phone (310) 423-0674

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA58134CAMDPhysician Assistant
58134CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Salud de la Comunidad de San Ysidro Inc CurrentSince Oct 28, 2024 Accepting new patients
Patient First Richmond Medical Group PLLC CurrentSince Jul 1, 2015 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Jun 23, 2025 Accepting new patients
Patient First Richmond Medical Group PLLC CurrentSince Jul 1, 2015 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro Inc CurrentSince Oct 28, 2024 Accepting new patients
Roanoke Valley Healthcare Partners, LLC PastSince May 4, 2024 Accepting new patients

Locations

8767 Wilshire Blvd
Fl 2
Beverly Hills, CA 90211
Phone (310) 248-7000

1637 Third Ave
Ste B
Chula Vista, CA 91911
Phone (619) 425-1780

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

1136 D Ave
National City, CA 91950
Phone (619) 336-2300

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

6311 Richmond Hwy
Alexandria, VA 22306
Phone (703) 647-6087

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

601 Potomac Station Dr NE
Leesburg, VA 20176
Phone (703) 840-1396

2199 Old Bridge Rd
Woodbridge, VA 22192
Phone (703) 357-9707

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1154627362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 W ORANGEWOOD AVE STE 105",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928685052",
            "telephone_number": "703-310-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8767 WILSHIRE BLVD FL 2",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112714",
            "telephone_number": "310-248-7000",
            "fax_number": "310-248-7033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1820 W Orangewood Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928685052",
            "country_code": "US",
            "telephone_number": "703-310-9495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "AMAIYA",
        "middle_name": "MELISSA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-04",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "58134",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA58134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMAIYA",
            "last_name": "JACKSON",
            "middle_name": "MELISSA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.