Individual provider Active NPI

Amanda Ardessi, FNP-C

  • Family Nurse Practitioner
  • Moreno Valley, CA
National Provider Identifier
1336895580
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95018817 Issued in CA
Practice address
14329 Frederick St Ste B
Moreno Valley, CA 92553-9003
Phone
(951) 598-0727
Fax
(714) 880-7942
NPI assigned
Feb 25, 2022
Last updated
Jun 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95018817 CA Primary

Addresses

Primary practice location

14329 Frederick St Ste B
Moreno Valley, CA 92553-9003

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

Other practice location 1

1700 N Waterman Ave
San Bernardino, CA 92404-5115
Phone (909) 883-8611

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
I20220825001307 CA Practitioner - Nurse Practitioner 2668856618 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaver Medical Group P CGroup PAC ID 0547164295, 251 clinicians

Practice addresses (Care Compare)

1700 N Waterman Ave
San Bernardino, CA 92404-5115
Phone (909) 883-8611

2 W Fern Ave
Redlands, CA 92373-5916
Phone (909) 793-3311

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Medical Group, Inc CurrentSince Nov 15, 2025 Accepting new patients
Redlands Family Physicians Medical Associates, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Cassidy Medical Group Inc. Current Accepting new patients
Pinnacle Medical Group, Inc CurrentSince Nov 15, 2025 Accepting new patients
Beaver Medical Group P C CurrentSince Feb 1, 2023 Accepting new patients
Centers for Family Medicine GP Current Accepting new patients
Beaver Medical Group P C CurrentSince Feb 1, 2023 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Redlands Family Practice Medical Group Inc. CurrentSince Aug 1, 2022 Accepting new patients
Pinnacle Medical Group, Inc. Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

10431 Lemon Ave
Ste N
Rch Cucamonga, CA 91737
Phone (909) 466-6579

1520 Barton Rd
Redlands, CA 92373
Phone (909) 793-3208

2 W Fern Ave
Redlands, CA 92373
Phone (909) 786-0725

2 W Fern Ave
#1112
Redlands, CA 92373

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

2150 N Waterman Ave
Ste 200
Sn Bernrdno, CA 92404
Phone (909) 881-4115

145 Thunder Dr
Vista, CA 92083
Phone (760) 630-5487

Interoperability endpoints

  • Direct secure messaging: aardessi21963@epiclp.direct-ci.com

Organizations & group practices 11

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": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1336895580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14329 FREDERICK ST STE B",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925539003",
            "telephone_number": "951-598-0727",
            "fax_number": "714-880-7942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 N Waterman Ave",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924045115",
            "country_code": "US",
            "telephone_number": "909-883-8611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARDESSI",
        "first_name": "AMANDA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-25",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95018817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

Verify at the official NPI Registry.