Active NPI
Amber Payne, PHYSICIAN ASSISTANT
- Physician Assistant
- Murrieta, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA17610
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA17610 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orange County Urgent Care #3, Inc. | Current | Accepting new patients | |
| Reuben C Castillo, Professional Corporation | Past | 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.
-
- Urgent Care Clinic/Center
- Calabasas, CA
- NPI 1588901532
-
- Urgent Care Clinic/Center
- Long Beach, CA
- NPI 1619445111
-
- Urgent Care Clinic/Center
- Lake Forest, CA
- NPI 1871962076
-
- General Practice Physician
- Perris, CA
- NPI 1942429188
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.