Individual provider Active NPI

Melinda Rose Jones, RDN, PA-C

  • Physician Assistant
  • San Francisco, CA
National Provider Identifier
1801157953
Registry record updated Jul 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA64903 Issued in CA
Practice address
333 1St St Ste a
San Francisco, CA 94105-2661
Phone
(888) 803-3370
NPI assigned
Jun 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DI61576632 WA
Physician Assistant 363A00000X 033034-01 NY
Physician Assistant 363A00000X PA221723 OR
Registered Dietitian 133V00000X NDP-2023-0109 NM
Physician Assistant 363A00000X PA64903 CA Primary
Registered Dietitian 133V00000X 1069103
Registered Dietitian 133V00000X LD-D-10245254 OR
Physician Assistant 363A00000X PA2017-0074 NM

Addresses

Primary practice location

333 1St St Ste a
San Francisco, CA 94105-2661

Mailing address

PO Box 212
Williamsburg, NM 87942-0212
Phone (575) 201-3344

Other practice location 1

712 Olivo
Williamsburg, NM 87942
Phone (575) 201-3344

Other practice location 2

415 N Crescent Dr Ste 320
Beverly Hills, CA 90210-6813
Phone (888) 803-3370

Other practice location 3

401 NE 19th Ave Ste 200
Portland, OR 97232-4800
Phone (575) 201-3344

Other practice location 4

9400 SW Beaverton Hillsdale Hwy Ste 250
Beaverton, OR 97005-3300
Phone (575) 201-3344

Other practice location 5

3855 Foothills Rd Ste C
Las Cruces, NM 88011-4772
Phone (575) 201-3344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, CA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20180119001463 NM Practitioner - Physician Assistant 2961644273 Reassigns benefits to 2 organizations
I20240408000176 NM Practitioner - Registered Dietitian Or Nutrition Professional 2961644273 Reassigns benefits to 1 organization
I20250417002355 CA Practitioner - Physician Assistant 2961644273 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
LD-D-10245254ORMDRegistered Dietitian
DI61576632WAMDRegistered Dietitian
PA64903CAMDPhysician Assistant
PA2017-0074NMMDPhysician Assistant
033034-01NYMDPhysician Assistant
PA221723ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ben Archer Health Center CurrentSince Dec 13, 2017 Accepting new patients
Ben Archer Health Center CurrentSince Dec 13, 2017 Accepting new patients

Locations

1998 N Motel Blvd
Las Cruces, NM 88007
Phone (575) 541-5941

1960 N Date St
Truth Or Consequences, NM 87901
Phone (575) 894-7662

1950 N Date St
Truth Or Consequences, NM 87901
Phone (575) 894-8057

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784937600000",
    "number": "1801157953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 212",
            "city": "WILLIAMSBURG",
            "state": "NM",
            "postal_code": "879420212",
            "telephone_number": "575-201-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 1ST ST STE A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941052661",
            "telephone_number": "888-803-3370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "712 Olivo",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "NM",
            "postal_code": "87942",
            "country_code": "US",
            "telephone_number": "575-201-3344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 N Crescent Dr Ste 320",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902106813",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "fax_number": "888-803-3331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 NE 19th Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972324800",
            "country_code": "US",
            "telephone_number": "575-201-3344",
            "fax_number": "575-334-0201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9400 SW Beaverton Hillsdale Hwy Ste 250",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970053300",
            "country_code": "US",
            "telephone_number": "575-201-3344",
            "fax_number": "575-334-0201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3855 Foothills Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880114772",
            "country_code": "US",
            "telephone_number": "575-201-3344",
            "fax_number": "910-933-7931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "MELINDA",
        "middle_name": "ROSE",
        "credential": "RDN, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2026-07-25",
        "certification_date": "2026-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI61576632",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "033034-01",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA221723",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NM",
            "license": "NDP-2023-0109",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA64903",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "1069103",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "LD-D-10245254",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2017-0074",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.