Active NPI
Amanda Anderson, MD
- Orthopaedic Foot and Ankle Surgery Physician
- Sacramento, CA
National Provider Identifier
1265011225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Foot and Ankle Surgery Physician
- License
- A194572
- Practice address
- 4860 Y St Ste 3800
Sacramento, CA 95817-2307 - Phone
- (916) 734-5885
- Fax
- (916) 734-7904
- NPI assigned
- Apr 6, 2021
- 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 |
|---|---|---|---|---|
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | A194572 | CA | Primary |
Addresses
Primary practice location
4860 Y St Ste 3800
Sacramento, CA 95817-2307
Mailing address
101 The City Dr S BLDG 29a
Orange, CA 92868-3201
Phone (714) 456-7012
Other practice location 1
3301 C St Ste 1600
Sacramento, CA 95816-3384
Phone (916) 734-2700
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220830004609 | CA | Order and Referring Only - Orthopedic Surgery | 2961886528 |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of California, Irvine, California College of Medicine, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10850 White Rock Rd
Rancho Cordova, CA 95670-6044
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785369600000",
"number": "1265011225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 THE CITY DR S BLDG 29A",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683201",
"telephone_number": "714-456-7012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4860 Y ST STE 3800",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172307",
"telephone_number": "916-734-5885",
"fax_number": "916-734-7904"
}
],
"practiceLocations": [
{
"address_1": "3301 C St Ste 1600",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958163384",
"country_code": "US",
"telephone_number": "916-734-2700",
"fax_number": "916-734-7137",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "AMANDA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-06",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "CA",
"license": "A194572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.