Individual provider Active NPI

Melanie Ampon, LE

  • Specialist
  • San Francisco, CA
National Provider Identifier
1376297945
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
L9681 Issued in CA
Practice address
1528 1/2 California Street
San Francisco, CA 94109
Phone
(415) 470-0140
NPI assigned
Feb 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X L9681 CA Primary

Addresses

Primary practice location

1528 1/2 California Street
San Francisco, CA 94109

Mailing address

900 Bush Street
#413
San Francisco, CA 94109
Phone (415) 999-3931

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

State licenses

LicenseStateTypeSpecialty
L9681CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearten Electrolysis, LLC Specialist CurrentSince Feb 1, 2022 Accepting new patients

Locations

1528 California St
San Francisco, CA 94109
Phone (415) 470-0140

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1376297945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 BUSH STREET",
            "address_2": "#413",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94109",
            "telephone_number": "415-999-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 1/2 CALIFORNIA STREET",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94109",
            "telephone_number": "415-470-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMPON",
        "first_name": "MELANIE",
        "credential": "LE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "L9681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.