Individual provider Active NPI

Abena D Amankwa, FNP

  • Family Nurse Practitioner
  • Ontario, CA
National Provider Identifier
1316291099
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95010775 Issued in CA
Practice address
4684 Ontario Mills Pkwy Ste 200
Ontario, CA 91764-5151
Phone
(909) 318-3522
Fax
(909) 244-3486
NPI assigned
Nov 2, 2012
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 802460 CA
Family Nurse Practitioner 363LF0000X 95010775 CA Primary

Addresses

Primary practice location

4684 Ontario Mills Pkwy Ste 200
Ontario, CA 91764-5151

Mailing address

4684 Ontario Mills Pkwy Ste 200
Ontario, CA 91764-5151
Phone (909) 318-3522

Other practice location 1

200 Oceangate Ste 100
Long Beach, CA 90802-4317
Phone (888) 562-5442 ext. 12008

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
I20190318001331 CA Practitioner - Nurse Practitioner 0244570810 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Onclick Healthcare IncorporatedGroup PAC ID 9830511260, 63 clinicians

Practice addresses (Care Compare)

16055 Maestro Way
Fontana, CA 92336-5087
Phone (818) 230-2116

Merit-based Incentive Payment System (MIPS)

Final score
78.03 of 100Reported as group
Quality
78.11
Improvement activities
40
Cost
33.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
802460CAMDRegistered Nurse
95010775CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prompt Laboratories Inc CurrentSince Aug 7, 2022 Accepting new patients
Wound Healing Care Specialists, Inc. CurrentSince Aug 21, 2023 Accepting new patients
Rancho Wound Care Center, PC CurrentSince Aug 21, 2025 Accepting new patients
Onclick Healthcare Incorporated CurrentSince Mar 6, 2026 Accepting new patients
Cajon Medical Group PC Past Accepting new patients
Coast to Coast Podiatry Past Accepting new patients

Locations

1300 Valley Vista Dr
Ste 102
Diamond Bar, CA 91765
Phone (626) 389-7498

3536 Concours
Ste 225
Ontario, CA 91764
Phone (314) 699-9181

10621 Church St
Ste 120
Rch Cucamonga, CA 91730
Phone (909) 944-0481

11343 Base Line Rd
Rch Cucamonga, CA 91730

25044 Peachland Ave
Ste 110
Santa Clarita, CA 91321

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1316291099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4684 ONTARIO MILLS PKWY STE 200",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645151",
            "telephone_number": "909-318-3522",
            "fax_number": "909-244-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4684 ONTARIO MILLS PKWY STE 200",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645151",
            "telephone_number": "909-318-3522",
            "fax_number": "909-244-3486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Oceangate Ste 100",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908024317",
            "country_code": "US",
            "telephone_number": "888-562-5442 x12008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMANKWA",
        "first_name": "ABENA",
        "middle_name": "D",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-02",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "802460",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95010775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

Verify at the official NPI Registry.