Individual provider Active NPI

Amanda Sawires Yager, NP

  • Family Nurse Practitioner
  • Temecula, CA
National Provider Identifier
1083198147
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95009999 Issued in CA
Practice address
28360 Old Town Front St
#544
Temecula, CA 92593-7023
Phone
(617) 331-0385
NPI assigned
Sep 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95009999 CA Primary

Addresses

Primary practice location

28360 Old Town Front St
#544
Temecula, CA 92593-7023

Mailing address

28360 Old Town Front St
#544
Temecula, CA 92593-7023
Phone (617) 331-0385

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
I20201016002136 CA Order and Referring Only - Nurse Practitioner 0840610671

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95009999CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
San Diego Family Care Past Accepting new patients
San Diego Family Care Past Accepting new patients
San Diego Family Care Past Accepting new patients
San Diego Family Care Past Accepting new patients

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": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1083198147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28360 OLD TOWN FRONT ST",
            "address_2": "#544",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925937023",
            "telephone_number": "617-331-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28360 OLD TOWN FRONT ST",
            "address_2": "#544",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925937023",
            "telephone_number": "617-331-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWIRES YAGER",
        "first_name": "AMANDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95009999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.