Active NPI
Amanda Rhoads
- Family Nurse Practitioner
- El Segundo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 60502434
- Practice address
- 740 S Allied Way
El Segundo, CA 90245-5514 - Phone
- (310) 500-2045
- NPI assigned
- Sep 2, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 60502434 | WA | Primary |
Addresses
Primary practice location
740 S Allied Way
El Segundo, CA 90245-5514
Mailing address
1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791
Other practice location 1
16549 Aurora Ave N
Shoreline, WA 98133-5308
Phone (206) 788-3650
Other practice location 2
632 Broadway Ph
New York, NY 10012-2614
Phone (800) 731-4254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60502434 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Providence Saint Johns Medical Foundation | Current | Accepting new patients | |
| Ou Health Partners, Inc | Current | Accepting new patients | |
| Saint John'S Health Clinic | Past | Accepting new patients | |
| One Medical Seniors Group, Inc. | Past | Accepting new patients |
Locations
2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024
1200 Childrens Ave
Oklahoma City, OK 73104
Phone (405) 271-2429
900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230
Interoperability endpoints
- amanda.rhoads@coh.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Specialist
- Santa Monica, CA
- NPI 1770093734
-
- Multi-Specialty Clinic/Center
- Oklahoma City, OK
- NPI 1528642642
-
- Prosthetic/Orthotic Supplier
- Oklahoma City, OK
- NPI 1447834460
-
- Family Medicine Physician
- Beverly Hills, CA
- NPI 1760130413
-
- Specialist
- Santa Monica, CA
- NPI 1336438902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649894400000",
"number": "1164822789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 EMBARCADERO CTR STE 1900",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941113723",
"telephone_number": "415-658-6791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 S ALLIED WAY",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902455514",
"telephone_number": "310-500-2045"
}
],
"practiceLocations": [
{
"address_1": "16549 Aurora Ave N",
"address_purpose": "LOCATION",
"city": "Shoreline",
"state": "WA",
"postal_code": "981335308",
"country_code": "US",
"telephone_number": "206-788-3650",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "632 Broadway Ph",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100122614",
"country_code": "US",
"telephone_number": "800-731-4254",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RHOADS",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-02",
"last_updated": "2022-04-14",
"certification_date": "2022-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "60502434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Segundo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.