Individual provider Active NPI

Amal Abdulkadir, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1396937751
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95029375 Issued in CA
Practice address
5060 Shoreham PL Ste 330
San Diego, CA 92122-5976
Phone
(877) 840-6956
NPI assigned
Aug 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2281356 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CMP191017 ME
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95029375 CA Primary

Addresses

Primary practice location

5060 Shoreham PL Ste 330
San Diego, CA 92122-5976

Mailing address

PO Box 7291
Lewiston, ME 04243-7291
Phone (207) 777-8950

Other practice location 1

1 Boston Medical Ctr Pl
Boston, MA 02118-2908
Phone (617) 414-5245

Other practice location 2

93 Campus Ave
Lewiston, ME 04240
Phone (207) 777-8700

Other practice location 3

93 Campus Ave
Lewiston, ME 04240
Phone (207) 777-8700

Other identifiers 1

IdentifierTypeStateIssuer
110111365AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, ME, TX, CA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20140912001715 MA Practitioner - Nurse Practitioner 3577782168 Reassigns benefits to 2 organizations
I20190802001313 ME Practitioner - Nurse Practitioner 3577782168 Reassigns benefits to 1 organization
I20230307000443 TX Practitioner - Nurse Practitioner 3577782168 Reassigns benefits to 1 organization
I20250505002375 CA Practitioner - Nurse Practitioner 3577782168 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindful Health Solutions a Professional Medical CorporationGroup PAC ID 3173613973, 55 clinicians

Practice addresses (Care Compare)

360 Post St
Suite 1000
San Francisco, CA 94108-4913
Phone (415) 964-5137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2281356MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth Current Accepting new patients
The McLean Hospital Corporation CurrentSince Nov 14, 2022 Accepting new patients
Headlight Health Medical Group PLLC CurrentSince Mar 14, 2026 Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Mar 3, 2023 Accepting new patients
Bridgewell, Inc CurrentSince Jan 1, 2018 Accepting new patients
Mainehealth CurrentSince Jun 16, 2020 Accepting new patients
Mindful Health Solutions a Professional Medical Corporation CurrentSince Apr 28, 2025 Accepting new patients
Mainehealth CurrentSince Jun 16, 2020 Accepting new patients
Sokyahealth Medical Group PC CurrentSince May 22, 2025 Accepting new patients

Locations

2386 Faraday Ave
Ste 110
Carlsbad, CA 92008
Phone (858) 427-5060

1020 Suncast Ln
Ste 108
El Dorado Hills, CA 95762
Phone (916) 932-0380

3300 Webster St
Ste 803
Oakland, CA 94609

5060 Shoreham Pl
Ste 230
San Diego, CA 92122

5060 Shoreham Pl
Ste 330
San Diego, CA 92122
Phone (619) 866-0998

360 Post St
Ste 500
San Francisco, CA 94108
Phone (415) 671-6819

360 Post St
Ste 1000
San Francisco, CA 94108
Phone (415) 964-5137

115 Mill St
Belmont, MA 02478
Phone (617) 855-2000

125 Liberty St
Ste 2
Danvers, MA 01923
Phone (978) 750-6820

23 Isaac St
Middleboro, MA 02346
Phone (774) 419-1000

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

Interoperability endpoints

  • Direct secure messaging: amal.abdulkadir.p1@direct.sokya.nextgenshare.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1396937751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7291",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042437291",
            "telephone_number": "207-777-8950",
            "fax_number": "207-777-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 SHOREHAM PL STE 330",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921225976",
            "telephone_number": "877-840-6956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Boston Medical Ctr Pl",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021182908",
            "country_code": "US",
            "telephone_number": "617-414-5245",
            "fax_number": "617-638-6836",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "93 Campus Ave",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "04240",
            "country_code": "US",
            "telephone_number": "207-777-8700",
            "fax_number": "207-777-8826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "93 Campus Ave",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "04240",
            "country_code": "US",
            "telephone_number": "207-777-8700",
            "fax_number": "207-777-8826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDULKADIR",
        "first_name": "AMAL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-09",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "2281356",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CMP191017",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95029375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110111365A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.