Individual provider Active NPI

Janet L Amundson, M.D.

  • Diagnostic Radiology Physician
  • San Diego, CA
National Provider Identifier
1285770388
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D67486 Issued in MD
Practice address
13280 Evening Creek Dr S Ste 110
San Diego, CA 92128-4109
Phone
(858) 546-3800
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D67486 MD Primary
Diagnostic Radiology Physician 2085R0202X T4105 MD

Addresses

Primary practice location

13280 Evening Creek Dr S Ste 110
San Diego, CA 92128-4109

Mailing address

13280 Evening Creek Dr South Ste 110
San Diego, CA 92128
Phone (858) 546-3800

Other identifiers 1

IdentifierTypeStateIssuer
018147100MedicaidMD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200120000889 CA Practitioner - Diagnostic Radiology 6204909567 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D67486MDMDDiagnostic Radiology Physician
T4105MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles Current Accepting new patients
Scripps Health Current Accepting new patients
County of Los Angeles Auditor Controller CurrentSince Nov 20, 2019 Accepting new patients
County of Los Angeles CurrentSince Nov 20, 2019 Accepting new patients
American Radiology Associates, P.a. Diagnostic Radiology Past Accepting new patients
Johns Hopkins University Diagnostic Radiology Past Accepting new patients
American Radiology Associates, P.a. Diagnostic Radiology Past Accepting new patients
DRS Korsower & Pion Radiology PA Diagnostic Radiology Past Accepting new patients

Locations

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

Interoperability endpoints

  • Direct secure messaging: jamundson330118@scrippshlth.medalliesdirect.net

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1285770388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13280 EVENING CREEK DR SOUTH STE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92128",
            "telephone_number": "858-546-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13280 EVENING CREEK DR S STE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284109",
            "telephone_number": "858-546-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMUNDSON",
        "first_name": "JANET",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D67486",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "T4105",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018147100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.