Individual provider Active NPI

Amber Payne, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Murrieta, CA
National Provider Identifier
1942361027
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17610 Issued in CA
Practice address
41880 Kalmia St Ste 100
Murrieta, CA 92562-8835
Phone
(951) 696-7587
Fax
(951) 461-6973
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2015

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 PA17610 CA Primary

Addresses

Primary practice location

41880 Kalmia St Ste 100
Murrieta, CA 92562-8835

Mailing address

PO Box 812
Dana Point, CA 92629-0812
Phone (951) 696-7587

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
I20050126001119 CA Practitioner - Physician Assistant 0446200570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exer Medical CorporationGroup PAC ID 9032359534, 336 clinicians

Practice addresses (Care Compare)

2100 S Euclid St
Suite 102
Anaheim, CA 92802-4572
Phone (714) 644-9100

235 E 17TH St
Costa Mesa, CA 92627-3831
Phone (949) 688-2010

4143 Campus Dr
Suite C200
Irvine, CA 92612-2693
Phone (949) 471-0002

831 S State College Blvd
Anaheim, CA 92806-4613
Phone (714) 533-2273

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA17610CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orange County Urgent Care #3, Inc. CurrentSince Mar 19, 2018 Accepting new patients
Reuben C Castillo, Professional Corporation PastSince May 1, 2007 Accepting new patients
Portola Medical Services PC Past Accepting new patients

Locations

2415 E Imperial Hwy
Brea, CA 92821
Phone (714) 255-1640

78965 Highway 111
Ste 100
La Quinta, CA 92253
Phone (706) 777-7847

2010 E Carson St
Long Beach, CA 90807
Phone (213) 401-0371

115 Eastpark Dr
Ste 300
Brentwood, TN 37027

Organizations & group practices 4

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428019200000",
    "number": "1942361027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 812",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926290812",
            "telephone_number": "951-696-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41880 KALMIA ST STE 100",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925628835",
            "telephone_number": "951-696-7587",
            "fax_number": "951-461-6973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "AMBER",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2015-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA17610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.