Amanda Crystal Avalos, DNP
Individual provider Active NPI Licensed Practical Nurse · Duarte, CA
NPI 1366376709 · NPPES record last updated Jun 10, 2026
Key facts
- NPI
- 1366376709
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 95039820 (CA)
- Practice address
- 1500 Duarte Rd
Duarte, CA 91010-3012 - Phone
- (626) 664-8632
- NPI assigned
- Jun 10, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 95039820 | CA | Yes |
Addresses
Primary practice location
1500 Duarte Rd
Duarte, CA 91010-3012
Mailing address
14177 Mountain Ave
Chino, CA 91710-1135
Phone (626) 664-8632
Other providers in Duarte, CA
- Jonathan David Ashby
- Brian Asher
- Hansa Arun Asher
- Karam Ashouri
- Attuned Communication a Prof Speech Pathology Corp
- Avangard Motors
- Mariela Avila
- Siva SVP Avula
- Morcos Atef Awad
- Maria Carmen Ayala
All providers in Duarte, CA · Licensed Practical Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2026. 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.