Active NPI
Amanda Yin
- Licensed Vocational Nurse
- Indio, CA
National Provider Identifier
1194283432
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(1) exclusion effective Aug 20, 2026.
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 702798
- Practice address
- 81820 Shadow Palm Ave Apt 67
Indio, CA 92201-4026 - Phone
- (442) 615-0284
- NPI assigned
- Mar 6, 2019
- 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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 702798 | CA | Primary |
Addresses
Primary practice location
81820 Shadow Palm Ave Apt 67
Indio, CA 92201-4026
Mailing address
81820 Shadow Palm Ave Apt 67
Indio, CA 92201-4026
Phone (442) 615-0284
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 702798 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551830400000",
"number": "1194283432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81820 SHADOW PALM AVE APT 67",
"city": "INDIO",
"state": "CA",
"postal_code": "922014026",
"telephone_number": "442-615-0284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81820 SHADOW PALM AVE APT 67",
"city": "INDIO",
"state": "CA",
"postal_code": "922014026",
"telephone_number": "442-615-0284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YIN",
"first_name": "AMANDA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-06",
"last_updated": "2019-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "702798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indio, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.