Individual provider Active NPI

Robin Amidon

  • Psychiatric/Mental Health Nurse Practitioner
  • Huntington Beach, CA
National Provider Identifier
1275303570
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95028555 Issued in CA
Practice address
6791 Crista Palma Dr
Huntington Beach, CA 92647-6620
Phone
(425) 248-0606
NPI assigned
Jan 8, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95028555 CA Primary

Addresses

Primary practice location

6791 Crista Palma Dr
Huntington Beach, CA 92647-6620

Mailing address

6791 Crista Palma Dr
Huntington Beach, CA 92647-6620
Phone (425) 248-0606

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
I20240604002250 CA Practitioner - Nurse Practitioner 8820530090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantage Neuropsychiatric Associates a P CGroup PAC ID 0547395048, 16 clinicians

Practice addresses (Care Compare)

1010 W Chapman Ave
Orange, CA 92868-2847
Phone (714) 633-4300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Neuropsychiatric Associates a P C CurrentSince Apr 21, 2024 Accepting new patients

Locations

1010 W Chapman Ave
Orange, CA 92868
Phone (714) 633-4300

Organizations & group practices 1

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1275303570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6791 CRISTA PALMA DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476620",
            "telephone_number": "425-248-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6791 CRISTA PALMA DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476620",
            "telephone_number": "425-248-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIDON",
        "first_name": "ROBIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95028555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.