Individual provider Active NPI

Amelia Buenvenida, DNP, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1154777639
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95004301 Issued in CA
Practice address
1555 Palm Ave Ste J2
San Diego, CA 92154-1012
Phone
(619) 490-3112
NPI assigned
May 13, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95004301 CA Primary
Family Nurse Practitioner 363LF0000X 95004301 CA

Addresses

Primary practice location

1555 Palm Ave Ste J2
San Diego, CA 92154-1012

Mailing address

1729 Webber Way
Chula Vista, CA 91913-4372

Other practice location 1

175 W Lexington Ave Ste A
El Cajon, CA 92020-4454
Phone (619) 573-1779

Other practice location 2

655 Saturn Blvd
San Diego, CA 92154-4734
Phone (619) 575-4442

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
I20200729003822 CA Practitioner - Nurse Practitioner 2961753702 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Enara Family Counseling P CGroup PAC ID 0749718385, 6 clinicians

Practice addresses (Care Compare)

El Cajon, CA 92020
Phone (619) 573-1779

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95004301CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reliable Care MD on the Go CurrentSince Jul 23, 2018 Accepting new patients
Enara Family Counseling P C Psychiatric/Mental Health CurrentSince Aug 20, 2025 Accepting new patients
I.B. Medical Aesthetiques & Wellness PC CurrentSince Aug 3, 2025 Accepting new patients
Dymphna San Diego TMS Inc CurrentSince Jan 1, 2021 Accepting new patients
Abnc Healthcare Services CurrentSince Sep 23, 2021 Accepting new patients
TP-Health Incorporated Past Accepting new patients

Locations

374 H St
Ste 201
Chula Vista, CA 91910
Phone (619) 510-8480

175 W Lexington Ave
Ste A
El Cajon, CA 92020
Phone (619) 573-1779

10850 Baroque Ln
Ste A
San Diego, CA 92124
Phone (619) 267-9257

655 Saturn Blvd
San Diego, CA 92154
Phone (619) 575-4442

1555 Palm Ave
Ste J2
San Diego, CA 92154
Phone (619) 490-3112

Organizations & group practices 7

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": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1154777639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 WEBBER WAY",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919134372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 PALM AVE STE J2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921541012",
            "telephone_number": "619-490-3112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 W Lexington Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920204454",
            "country_code": "US",
            "telephone_number": "619-573-1779",
            "fax_number": "619-573-1761",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "655 Saturn Blvd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921544734",
            "country_code": "US",
            "telephone_number": "619-575-4442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUENVENIDA",
        "first_name": "AMELIA",
        "credential": "DNP, FNP-C, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-13",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95004301",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004301",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.