Active NPI
Janet L Amundson, M.D.
- Diagnostic Radiology Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- D67486
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018147100 | Medicaid | MD |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D67486 | MD | MD | Diagnostic Radiology Physician |
| T4105 | MD | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Los Angeles | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| County of Los Angeles Auditor Controller | Current | Accepting new patients | |
| County of Los Angeles | Current | 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
- 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.
-
dba County of Los Angeles Harbor UCLA Medical Center
- General Acute Care Hospital
- Torrance, CA
- NPI 1851363188
-
- Clinic/Center
- Los Angeles, CA
- NPI 1295407401
-
dba Los Angeles County Olive View-UCLA Medical Center
- General Acute Care Hospital
- Sylmar, CA
- NPI 1134159320
-
dba Scripps Hospital Medical Services
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Diagnostic Radiology Physician
- Prince Frederick, MD
- NPI 1629235312
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1780660217
-
- Diagnostic Radiology Physician
- Olney, MD
- NPI 1447212840
-
dba Jhu - Radiology
- Body Imaging Physician
- Baltimore, MD
- NPI 1093796609
Diagnostic Radiology
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.