Amelia Atalig-Smith, RN, CCRN, ANP
Individual provider Active NPI Adult Health Nurse Practitioner · Pleasant Hill, CA
NPI 1063833192 · NPPES record last updated Nov 12, 2024
Key facts
- NPI
- 1063833192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- NP95000132 (CA)
- Practice address
- 2250 Morello Ave
Pleasant Hill, CA 94523-1860 - Phone
- (925) 287-1256
- NPI assigned
- Dec 16, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
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 |
|---|---|---|---|---|
| I20161222001448 | CA | Practitioner - Nurse Practitioner | 7719268119 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95000132 | CA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bass Medical Group | Current |
Accepting new patients | |
| Bass Medical Group | Current | Accepting new patients | |
| Bass Medical Group | Current |
Accepting new patients |
Locations
1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225
2250 Morello Ave
Pleasant Hill, CA 94523
Phone 9252871256121
2324 Santa Rita Rd
Ste 6
Pleasanton, CA 94566
Phone (925) 462-8100
2637 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 627-3424
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | NP95000132 | CA | Yes |
Addresses
Primary practice location
2250 Morello Ave
Pleasant Hill, CA 94523-1860
Mailing address
2250 Morello Ave
Pleasant Hill, CA 94523-1860
Phone (925) 287-1256
Other practice location 1
2324 Santa Rita Rd Ste 6
Pleasanton, CA 94566-4150
Phone (925) 287-1256
Other providers in Pleasant Hill, CA
- Nolan Arieta
- Francesca Assemi
- Assist on Call Palliative & Hospice Care, Inc.
- Assist on Call Professional in-Home Care Services, Inc,
- Assist on Call, Inc.
- David Charles Atkinson
- Lauren Atlas
- Eric Atristain
- Vikram Auluck
- Marcela Garcia Avila-Mendoza
All providers in Pleasant Hill, CA · Adult Health Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2024. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.