Individual provider Active NPI

Melissa Chavez, NP

  • Primary Care Nurse Practitioner
  • South San Francisco, CA
National Provider Identifier
1700444205
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1700444205 Issued in CA
Practice address
470 Noor Ave
South San Francisco, CA 94080-5916
Phone
(650) 955-7915
Fax
(650) 955-7397
NPI assigned
May 31, 2019
Last updated
Oct 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1700444205 CA Primary

Addresses

Primary practice location

470 Noor Ave
South San Francisco, CA 94080-5916

Mailing address

3305 Deering St
Oakland, CA 94601-2723
Phone (510) 689-7576

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
I20210817000414 CA Practitioner - Nurse Practitioner 7517362494 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1700444205CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upward Health of California, PC General Practice CurrentSince Apr 14, 2023 Accepting new patients
Healthright 360 CurrentSince Apr 13, 2021 Accepting new patients
Healthright 360 CurrentSince Apr 13, 2021 Accepting new patients
Healthright 360 Current Accepting new patients
Healthright 360 Past Accepting new patients

Locations

558 Clayton St
San Francisco, CA 94117
Phone (415) 746-1950

400 Concar Dr
San Mateo, CA 94402
Phone (650) 409-1407

80 Arkay Dr
Ste 230
Hauppauge, NY 11788
Phone (631) 540-8225

Interoperability endpoints

  • Direct secure messaging: melissa.chavez.1@15578.direct.athenahealth.com

Organizations & group practices 5

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": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1700444205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 DEERING ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946012723",
            "telephone_number": "510-689-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 NOOR AVE",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805916",
            "telephone_number": "650-955-7915",
            "fax_number": "650-955-7397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "MELISSA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "1700444205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South San Francisco, CA

Sources for this page

Verify at the official NPI Registry.