Active NPI
Connie L Amorde, P.A.-C
- Physician Assistant
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA14581
- Practice address
- 3555 Cesar Chavez
San Francisco, CA 94110-4403 - Phone
- (415) 641-6625
- NPI assigned
- Jun 4, 2006
- Last updated
- Jun 25, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA14581 | CA | Primary |
Addresses
Primary practice location
3555 Cesar Chavez
San Francisco, CA 94110-4403
Mailing address
3097 Sandalwood CT
Lafayette, CA 94549-5509
Phone (925) 296-0810
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA14581 | Medicaid | CA |
Other names 1
- Connie Amorde-Melcher
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5951 Lone Tree Way
Suite 100
Brentwood, CA 94513-5573
Phone (925) 234-4447
901 Sunvalley Blvd
Suite 100
Concord, CA 94520-5816
Phone (925) 234-4447
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14581 | CA | MD | Optometrist |
| PA14581 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kristin Walker M.D. Inc | Current | Accepting new patients | |
| Stat Med PC a California Medical Professional Corporation | Current | Accepting new patients | |
| Cep America-California | Current | Accepting new patients | |
| Stat Med PC a California Medical Professional Corporation | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients | |
| California Em-I Medical Services | Physician Assistant | Past | Accepting new patients |
Locations
5951 Lone Tree Way
Ste 100
Brentwood, CA 94513
Phone (925) 234-4447
901 Sunvalley Blvd
Ste 100
Concord, CA 94520
Phone (925) 234-4447
4465 1st St
Livermore, CA 94551
Phone (925) 234-4447
170 Alameda de las Pulgas
Redwood City, CA 94062
Phone (650) 367-5536
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
2000 Vale Rd
San Pablo, CA 94806
Phone (510) 235-7000
Organizations & group practices 7
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.
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- Emergency Medicine Physician
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- NPI 1588552848
-
- Dermatology Physician
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- NPI 1134131758
-
- Urgent Care Clinic/Center
- Brentwood, CA
- NPI 1265169643
-
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1649229600
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277424000000",
"number": "1306884846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3097 SANDALWOOD CT",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "945495509",
"telephone_number": "925-296-0810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3555 CESAR CHAVEZ",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941104403",
"telephone_number": "415-641-6625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMORDE",
"first_name": "CONNIE",
"middle_name": "L",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-04",
"last_updated": "2010-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA14581",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PA14581",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CONNIE",
"last_name": "AMORDE-MELCHER",
"credential": "P.A.-C.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.