Amanda Lorraine Felix

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

52290 Issued in CA

Practice address

170 N. Calvados Ave
Azusa, CA 91702

Phone

(626) 625-5978

NPI assigned

Jul 1, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Amanda Lorraine Felix Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309478400000",
    "number": "1295022937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 N CALVADOS AVE",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917023905",
            "telephone_number": "626-625-5978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 N. CALVADOS AVE",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "91702",
            "telephone_number": "626-625-5978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELIX",
        "first_name": "AMANDA",
        "middle_name": "LORRAINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-01",
        "last_updated": "2011-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "52290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "FELIX",
            "middle_name": "LORRAINE",
            "prefix": "MRS.",
            "credential": "RDA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Eyecare Vision Inc.
• Elisabeth Fabris
• Charles Phillip Andrew Fagan
• Family Medicine Headquarters, Inc
• Stephanie Marie Farrell, MSOT
• Cynthia Ann Felix, PT
• Kylie Dennise Ferrer Guiking, ASW, PPSC
• Magely Flores
• Monica Melissa Flores, MA
• Janet Hoyt Flynn, CNS, NP-C

• Dental Assistant in Azusa, CA
• Providers in Azusa, CA by specialty
• Dental Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.