Individual provider Active NPI

Melinia J Honjo, DHSC, P.A.-C

  • Physician Assistant
  • Los Gatos, CA
National Provider Identifier
1386713147
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
19717 Issued in CA
Practice address
777 Knowles Dr # 16
Los Gatos, CA 95032-1417
Phone
(408) 374-1320
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X AZ2980 AZ
Physician Assistant 363A00000X 19717 CA Primary

Addresses

Primary practice location

777 Knowles Dr # 16
Los Gatos, CA 95032-1417

Mailing address

777 Knowles Dr # 16
Los Gatos, CA 95032-1417
Phone (408) 374-1320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111121000471 AZ Practitioner - Physician Assistant 2860666229 Reassigns benefits to 1 organization
I20130604000726 CA Practitioner - Physician Assistant 2860666229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Dermatology PLLCGroup PAC ID 1557355385, 69 clinicians

Practice addresses (Care Compare)

14275 N 87TH St
Suite 110
Scottsdale, AZ 85260-3696
Phone (480) 905-8485

5206 N Scottsdale Rd
Paradise Valley, AZ 85253-7006
Phone (480) 771-1122

Merit-based Incentive Payment System (MIPS)

Final score
83.48 of 100Reported as group
Quality
82.26
Promoting interoperability
83
Improvement activities
40
Cost
76.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
19717CAMDAcupuncturist
AZ2980AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce M Saal Ms, Inc Current Accepting new patients
Center for Dermatology, PLLC Medical Past Accepting new patients
California Skin Institute, a Medical Corporation Past Accepting new patients
Christopher M. Barnard M.D., a Medical Corporation Past Accepting new patients

Locations

777 Knowles Dr
Ste 16
Los Gatos, CA 95032
Phone (408) 374-1320

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1386713147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 KNOWLES DR # 16",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321417",
            "telephone_number": "408-374-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 KNOWLES DR # 16",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321417",
            "telephone_number": "408-374-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONJO",
        "first_name": "MELINIA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DHSC, P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "AZ2980",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "19717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.