Individual provider Active NPI

Connie L Amorde, P.A.-C

  • Physician Assistant
  • San Francisco, CA
National Provider Identifier
1306884846
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14581 Issued in CA
Practice address
3555 Cesar Chavez
San Francisco, CA 94110-4403
Phone
(415) 641-6625
NPI assigned
Jun 4, 2006
Last updated
Jun 25, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PA14581MedicaidCA

Other names 1

  • Connie Amorde-Melcher Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080515000669 CA Practitioner - Physician Assistant 7416026570 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
14581CAMDOptometrist
PA14581CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kristin Walker M.D. Inc CurrentSince Apr 1, 2009 Accepting new patients
Stat Med PC a California Medical Professional Corporation CurrentSince Oct 30, 2018 Accepting new patients
Cep America-California CurrentSince May 4, 2010 Accepting new patients
Stat Med PC a California Medical Professional Corporation CurrentSince Oct 30, 2018 Accepting new patients
Cep America - California CurrentSince May 4, 2010 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.

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

Verify at the official NPI Registry.