NPIMap

Organization Active NPI

Amygdala Medical Corporation

  • Psychiatric/Mental Health Nurse Practitioner
  • Orange, CA
National Provider Identifier
1386324267
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
AMYGDALA MEDICAL CORPORATION
Practice address
2230 W Chapman Ave Ste 214B
Orange, CA 92868-2316
Phone
(714) 712-0711
Fax
(657) 224-4781
NPI assigned
Jul 24, 2023
Last updated
Dec 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Authorized official

Name
Taqialdeen ZamilNPI 1598154478
Title
Cfo
Phone
(714) 712-0711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

2230 W Chapman Ave Ste 214B
Orange, CA 92868-2316

Mailing address

PO Box 6080 Anaheim
Orange, CA 92816
Phone (714) 712-0711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231114002865 CA Part B Supplier - Clinic/Group Practice 3577910421 Receives reassigned benefits from 16 practitioners
Practice locations: Orange, CA

National Provider Directory

National Provider Directory

Locations

2230 W Chapman Ave
Ste 214B
Orange, CA 92868
Phone (714) 712-0711

Practitioners & affiliated clinicians

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1386324267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6080 ANAHEIM",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92816",
            "telephone_number": "714-712-0711",
            "fax_number": "657-224-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 W CHAPMAN AVE STE 214B",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682316",
            "telephone_number": "714-712-0711",
            "fax_number": "657-224-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMYGDALA MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "ZAMIL",
        "authorized_official_first_name": "TAQIALDEEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "714-712-0711"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.