Individual provider Active NPI

Amy Beth Pelz, PA-C

  • Physician Assistant
  • Santa Clara, CA
National Provider Identifier
1689307803
Registry record updated May 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2712 Augustine Dr Ste 120
Santa Clara, CA 95054-2941
Phone
(408) 786-9636
NPI assigned
Jul 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2025

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 Primary

Addresses

Primary practice location

2712 Augustine Dr Ste 120
Santa Clara, CA 95054-2941

Mailing address

2712 Augustine Dr Ste 120
Santa Clara, CA 95054-2941

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
I20241127002522 CA Practitioner - Physician Assistant 4981139953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carbon Health Medical Group of California PCGroup PAC ID 9032340047, 335 clinicians

Practice addresses (Care Compare)

1411 Berryessa Rd
Suite 30
San Jose, CA 95133-1014
Phone (408) 785-6344

1760 S Bascom Ave
Suite 140
Campbell, CA 95008-0638
Phone (408) 214-9732

377 Santana Row
Suite 1180
San Jose, CA 95128-2061
Phone (669) 247-4773

5120 Cherry Ave
Suite 20
San Jose, CA 95118-3786
Phone (408) 780-2532

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Primary Care of California PC CurrentSince Jul 11, 2025 Accepting new patients

Locations

2690 5th St
Ste B
Alameda, CA 94501
Phone (510) 439-9447

2920 Telegraph Ave
Ste 100
Berkeley, CA 94705
Phone (415) 549-0212

1760 S Bascom Ave
Ste 140
Campbell, CA 95008
Phone (408) 214-9732

2712 Augustine Dr
Ste 120
Santa Clara, CA 95054
Phone (408) 780-2542

Organizations & group practices 2

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": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748131200000",
    "number": "1689307803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 AUGUSTINE DR STE 120",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950542941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2712 AUGUSTINE DR STE 120",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950542941",
            "telephone_number": "408-786-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELZ",
        "first_name": "AMY",
        "middle_name": "BETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2025-05-25",
        "certification_date": "2025-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

Verify at the official NPI Registry.