Individual provider Active NPI

Amanda E Duncan, PA-C

  • Physician Assistant
  • Glendora, CA
National Provider Identifier
1346672680
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA23056 Issued in CA
Practice address
2301 E Foothill Blvd
Glendora, CA 91740-4000
Phone
(626) 852-3376
NPI assigned
Aug 8, 2013
Last updated
Aug 8, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA23056CAMDPhysician Assistant
23056CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince May 1, 2023 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.

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

Sources for this page

Verify at the official NPI Registry.