Amanda Aden, PA
Individual provider Active NPI Physician Assistant · Carson, CA
NPI 1013435783 · NPPES record last updated Jan 30, 2026
Key facts
- NPI
- 1013435783
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 54796 (CA)
- Practice address
- 23701 Main St
Carson, CA 90745-5745 - Phone
- (310) 513-6707
- NPI assigned
- Sep 1, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Southern California Permanente Medical Group
Practice addresses (Care Compare)
9333 Rosecrans Ave
Bellflower, CA 90706-2141
Phone (562) 461-3000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180223001557 | CA | Practitioner - Physician Assistant | 2668733122 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Johns Community Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 54796 | CA | Yes |
Addresses
Primary practice location
23701 Main St
Carson, CA 90745-5745
Mailing address
23701 Main St
Carson, CA 90745-5745
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Other providers in Carson, CA
- Beheshteh Adabzadeh
- Ebony Adagun
- Joseph Adams
- Gaurav Addagatla
- Ade Osibamiro MD Inc
- Cydanni Adenikinju
- Elsie Adoc
- Joel A Agacid Jr.
- Jenny Agtarap
- Katherine Aguilar
All providers in Carson, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.