Krista Marie Amendola, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G082076 Issued in CA

Practice address

525 Spruce St Ste 3
San Francisco, CA 94118-2682

Phone

(415) 668-8900

Fax

(415) 668-1695

NPI assigned

Jun 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kamendola217435@direct-ucsfmedicalcenter.org

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.

• UCSF Health Medical Foundation

  • Multi-Specialty Clinic/Center
  • Oakland, CA
  • NPI 1922124866
  Medicare reassignment NPD
• California Pacific Medical Group, Inc.

  • Multi-Specialty Clinic/Center
  • Oakland, CA
  • NPI 1275002453
  NPD (past)
• Duke University Health System, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Durham, NC
  • NPI 1821094509
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1215973276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 SPRUCE ST STE 3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941182682",
            "telephone_number": "415-668-8900",
            "fax_number": "415-668-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 SPRUCE ST STE 3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941182682",
            "telephone_number": "415-668-8900",
            "fax_number": "415-668-1695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "591 Redwood Hwy Frontage Rd Ste 5215",
            "address_purpose": "LOCATION",
            "city": "Mill Valley",
            "state": "CA",
            "postal_code": "949413016",
            "country_code": "US",
            "telephone_number": "415-381-5400",
            "fax_number": "415-381-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMENDOLA",
        "first_name": "KRISTA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G082076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George A Ambus, D.D.S.
• Sean Senyo Amegadzie, MD
• Gieve Ameli
• Cynthia Rae Amelon, D.O.
• William J. Amend Jr., M.D.
• Cori Elaine Amendt
• Zane D. Amenhotep, M.D.
• American Chinese Acupuncture Clinic
• American College of Traditional Chinese Medicine
• American Current Care of California, a Medical Corporation

• Pediatrics Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.

Verify at the official NPI Registry.