Active NPI
Amaiya Melissa Thompson, PA-C
- Physician Assistant
- Beverly Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA58134
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA58134 | CA | MD | Physician Assistant |
| 58134 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro de Salud de la Comunidad de San Ysidro Inc | Current | Accepting new patients | |
| Patient First Richmond Medical Group PLLC | Current | Accepting new patients | |
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| Patient First Richmond Medical Group PLLC | Current | Accepting new patients | |
| Centro de Salud de la Comunidad de San Ysidro Inc | Current | Accepting new patients | |
| Roanoke Valley Healthcare Partners, LLC | Past | 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.
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
- Family Medicine Physician
- Glen Allen, VA
- NPI 1689603748
DC
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1124782685
-
- Urgent Care Clinic/Center
- Fredericksburg, VA
- NPI 1487838652
-
- Anesthesiology Physician
- Los Angeles, CA
- NPI 1043826720
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1457033813
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1568182046
-
- Urgent Care Clinic/Center
- Fairfax, VA
- NPI 1588018881
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1619274446
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.