Active NPI
Amanda E Duncan, PA-C
- Physician Assistant
- Glendora, CA
National Provider Identifier
1346672680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA23056
- Practice address
- 2301 E Foothill Blvd
Glendora, CA 91740-4000 - Phone
- (626) 852-3376
- NPI assigned
- Aug 8, 2013
- Last updated
- Aug 8, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA23056 | CA | Primary |
Addresses
Primary practice location
2301 E Foothill Blvd
Glendora, CA 91740-4000
Mailing address
1743 E Crary St
Pasadena, CA 91104-2706
Phone (954) 336-0814
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA23056 | CA | MD | Physician Assistant |
| 23056 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foothill Dermatology Medical Center | Past | Accepting new patients | |
| Amarpaul S Sidhu, M. D | Past | Accepting new patients | |
| Carbon Health Primary Care of California PC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Specialist
- Glendora, CA
- NPI 1538301379
-
- Multi-Specialty Clinic/Center
- Berkeley, CA
- NPI 1972057990
-
- Specialist
- Glendora, CA
- NPI 1154592368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375920000000",
"number": "1346672680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1743 E CRARY ST",
"city": "PASADENA",
"state": "CA",
"postal_code": "911042706",
"telephone_number": "954-336-0814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 E FOOTHILL BLVD",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917404000",
"telephone_number": "626-852-3376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCAN",
"first_name": "AMANDA",
"middle_name": "E",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-08",
"last_updated": "2013-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA23056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendora, CA
- Celeste Yvonne Ducas
- Nancy Jean Duffy
- Dean Duggan, DC
- Karen M. Dunaetz, LMFT
- Tricia Lynn Duncan-Hassel, PSY.D.
- Mariela Duran-Troncoso, LMFT
- Alyviah Durham, PA-C
- Jenna D Duvall, OTR/L
- East Valley Emergency Medical Associates, Inc.
- East Valley Glendora Hospital LLC (Glendora Oaks Behavioral Health Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.