Individual provider Active NPI

Amal Ahmed Muthana, FNP

  • Nurse Practitioner
  • Visalia, CA
National Provider Identifier
1053002238
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95025191 Issued in CA
Practice address
36650 Road 112
Visalia, CA 93291-9517
Phone
(559) 735-1750
NPI assigned
May 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95025191 CA Primary

Addresses

Primary practice location

36650 Road 112
Visalia, CA 93291-9517

Mailing address

3103 SE la Vida CT
Visalia, CA 93292-3994
Phone (559) 356-9113

Other practice location 1

5117 W Noble Ave
Visalia, CA 93277-8354
Phone (559) 233-3376

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
I20231121002753 CA Practitioner - Nurse Practitioner 2961850433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fresno Dermatology Specialists IncGroup PAC ID 9739329939, 6 clinicians

Practice addresses (Care Compare)

5117 W Noble Ave
Visalia, CA 93277-8354
Phone (559) 385-2133

Merit-based Incentive Payment System (MIPS)

Final score
95.11 of 100Reported as group
Quality
90.23
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fresno Dermatology Specialists, Inc CurrentSince Oct 30, 2023 Accepting new patients

Locations

7095 N Recreation Ave
Fresno, CA 93720
Phone (559) 233-3376

128 N Akers St
Ste C
Visalia, CA 93291
Phone (559) 385-2133

5117 W Noble Ave
Visalia, CA 93277
Phone (559) 233-3376

Organizations & group practices 1

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": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1053002238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 SE LA VIDA CT",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932923994",
            "telephone_number": "559-356-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36650 ROAD 112",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932919517",
            "telephone_number": "559-735-1750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5117 W Noble Ave",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932778354",
            "country_code": "US",
            "telephone_number": "559-233-3376",
            "fax_number": "559-233-6647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUTHANA",
        "first_name": "AMAL",
        "middle_name": "AHMED",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-17",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95025191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.