Active NPI
Amylin Illorde
- Rehabilitation Practitioner
- San Jose, CA
National Provider Identifier
1295451516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 485 N 1St St
San Jose, CA 95112-4067 - Phone
- (408) 554-2550
- NPI assigned
- Oct 18, 2022
- Last updated
- Jul 9, 2025
- 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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | NU | Primary | |
| Behavior Technician | 106S00000X | NU |
Addresses
Primary practice location
485 N 1St St
San Jose, CA 95112-4067
Mailing address
8945 Golf Links Rd
Oakland, CA 94605-4124
Phone (510) 317-1444
Other practice location 1
13980 Blossom Hill Rd Ste A
Los Gatos, CA 95032-5121
Phone (619) 795-9925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mebe San Diego | Behavior Technician | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752019200000",
"number": "1295451516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8945 GOLF LINKS RD",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946054124",
"telephone_number": "510-317-1444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "485 N 1ST ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951124067",
"telephone_number": "408-554-2550"
}
],
"practiceLocations": [
{
"address_1": "13980 Blossom Hill Rd Ste A",
"address_purpose": "LOCATION",
"city": "Los Gatos",
"state": "CA",
"postal_code": "950325121",
"country_code": "US",
"telephone_number": "619-795-9925",
"fax_number": "877-602-5087",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ILLORDE",
"first_name": "AMYLIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-18",
"last_updated": "2025-07-09",
"certification_date": "2025-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.