Amanda Abramson Lloyd MD Inc
Organization Active NPI Dermatology Physician · Encinitas, CA
NPI 1376092023 · NPPES record last updated Sep 8, 2019
Key facts
- NPI
- 1376092023
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- A123852 (CA)
- Legal business name
- AMANDA ABRAMSON LLOYD MD INC
- Practice address
- 477 N El Camino Real Ste D304
Encinitas, CA 92024-1374 - Phone
- (760) 452-2080
- Fax
- (760) 230-2927
- NPI assigned
- Sep 22, 2016
- Organization subpart
- No
Authorized official
- Name
- Amanda Abramson Lloyd, MD
- Title
- President
- Phone
- (949) 433-2389
Practitioners 1
-
Amanda A Lloyd, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2124055 | Amanda Abramson Lloyd MD Inc | Compliance | Jul 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161011003057 | CA | Part B Supplier - Clinic/Group Practice | 6305134131 |
Receives reassigned benefits from 1 practitioner Practice locations: Encinitas, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician |
207N00000X | A123852 | CA | Yes |
Addresses
Primary practice location
477 N El Camino Real Ste D304
Encinitas, CA 92024-1374
Mailing address
PO Box 1134
Cardiff, CA 92007-7134
Other providers in Encinitas, CA
- Daniel Edward Allison
- Mariann Alperin
- Alvera Podiatry Group, a.P.C
- Ama Mama - Birth, Babies & Beyond
- Amad E Kadry, M.D.
- Kelleen Amaro
- Ambach Ma, P.C.
- Mary Antoniette Ambach
- American Care Medical Transportation
- American Drug Stores Inc
All providers in Encinitas, CA · Dermatology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.