Amy T Bandy, D.O.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

20A5862 Issued in CA

Practice address

320 Superior Ave Ste 170
Newport Beach, CA 92663-6139

Phone

(949) 574-0574

Fax

(949) 574-0573

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1144328568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SUPERIOR AVE STE 170",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926636139",
            "telephone_number": "949-574-0574",
            "fax_number": "949-574-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SUPERIOR AVE STE 170",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926636139",
            "telephone_number": "949-574-0574",
            "fax_number": "949-574-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDY",
        "first_name": "AMY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "20A5862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKMANS COMP",
            "identifier": "MDN 108649-1",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elisha Daniel Ballard
• Ronald Steven Ballback, DDS
• Beth Ellen Ballinger, O.D., F.C.O.V.D.
• Rita Balyan
• Daniel S. Bandari, M.D.
• Hochong Bang
• Sharon Chung Bang, MFT
• Rajesh S Banker, M.D.
• Krishelle Banner, LBT
• Shipra Bansal, M.D.

• Plastic Surgery Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.