Active NPI
Amanda J Yslas
- Counselor
- San Diego, CA
National Provider Identifier
1306552831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- SUDRC13156
- Practice address
- 3148 Midway Dr Ste 113
San Diego, CA 92110-4539 - Phone
- (858) 514-5100
- NPI assigned
- Jan 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | SUDRC13156 | CA | Primary |
Addresses
Primary practice location
3148 Midway Dr Ste 113
San Diego, CA 92110-4539
Mailing address
8910 Clairemont Mesa Blvd
San Diego, CA 92123-1104
Phone (858) 514-5144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SUDRC13156 | CA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674777600000",
"number": "1306552831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8910 CLAIREMONT MESA BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231104",
"telephone_number": "858-514-5144",
"fax_number": "858-514-5195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3148 MIDWAY DR STE 113",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921104539",
"telephone_number": "858-514-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YSLAS",
"first_name": "AMANDA",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-27",
"last_updated": "2023-01-27",
"certification_date": "2023-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "SUDRC13156",
"primary": true
}
],
"identifiers": [],
"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 Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.