Individual provider Active NPI

Amanda Marie Paranda, PA-C

  • Physician Assistant
  • Anaheim, CA
National Provider Identifier
1124264437
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA20124 Issued in CA
Practice address
710 N Euclid St Ste 203
Anaheim, CA 92801-4122
Phone
(714) 551-9720
Fax
(714) 560-7678
NPI assigned
Dec 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA20124 CA Primary

Addresses

Primary practice location

710 N Euclid St Ste 203
Anaheim, CA 92801-4122

Mailing address

710 N Euclid St Ste 400
Anaheim, CA 92801-4132
Phone (714) 551-9720

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
I20100308000366 CA Practitioner - Physician Assistant 0345385944 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA20124CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Foothill Urgent Care CurrentSince Jan 1, 2023 Accepting new patients

Locations

710 N Euclid St
Ste 203
Anaheim, CA 92801
Phone (714) 551-9720

Interoperability endpoints

  • Direct secure messaging: amanda.paranda.1@30710.direct.athenahealth.com

Organizations & group practices 3

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": "1229472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1124264437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N EUCLID ST STE 400",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928014132",
            "telephone_number": "714-551-9720",
            "fax_number": "714-560-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N EUCLID ST STE 203",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928014122",
            "telephone_number": "714-551-9720",
            "fax_number": "714-560-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARANDA",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-17",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.