Amy P Anglin, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

95017254 Issued in CA

Practice address

5565 W Las Positas Blvd Ste 240
Pleasanton, CA 94588-5807

Phone

(925) 460-8444

Fax

(925) 460-8565

NPI assigned

Jun 10, 2021

Last updated

Sep 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Amy P Larsh Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: aanglin254061@direct-ucsfmedicalcenter.org

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.

• Tri-Valley Pediatrics, Inc.

  • Pediatrics Physician
  • Pleasanton, CA
  • NPI 1881778546
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1386211076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 W LAS POSITAS BLVD STE 240",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945885807",
            "telephone_number": "925-460-8444",
            "fax_number": "925-460-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 W LAS POSITAS BLVD STE 240",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945885807",
            "telephone_number": "925-460-8444",
            "fax_number": "925-460-8565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18546 Roscoe Blvd Ste 211",
            "address_purpose": "LOCATION",
            "city": "Northridge",
            "state": "CA",
            "postal_code": "91324",
            "country_code": "US",
            "telephone_number": "818-885-8040",
            "fax_number": "818-267-5633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGLIN",
        "first_name": "AMY",
        "middle_name": "P",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95017254",
            "primary": true
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "CA",
            "license": "95107155",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "LARSH",
            "middle_name": "P",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Kathleen Anderson, PHARMACIST
• Reine Anderson
• Andre & Judson Dental Corporation
• Kerry Elizabeth Andre, DDS
• Andrew J Maxwell, M.D. Inc (Heart of the Valley Pediatric Cardiology)
• Anita Kumari, MD Inc
• Anita N Thapa DDS Inc
• Anna T McNay MD Inc (Pleasanton Dermatology)
• Deborah R. Ansley, MD
• Kristina Antaki

• Pediatric Nurse Practitioner in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.