Lydia Amador
Individual provider Active NPI Physician Assistant · South Pasadena, CA
NPI 1326858366 · NPPES record last updated Feb 10, 2025
Key facts
- NPI
- 1326858366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 1001 Fremont Ave # 267
South Pasadena, CA 91030-3224 - Phone
- (626) 354-3471
- NPI assigned
- Jan 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | CA | Yes |
Addresses
Primary practice location
1001 Fremont Ave # 267
South Pasadena, CA 91030-3224
Mailing address
1001 Fremont Ave # 267
South Pasadena, CA 91030-3224
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All providers in South Pasadena, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.