Hamid Reza Amanatkar, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

A155209 Issued in CA

Practice address

2730 Wilshire Blvd Ste 525
Santa Monica, CA 90403

Phone

(323) 298-3100

NPI assigned

Jul 29, 2013

Last updated

Nov 2, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern California Permanente Medical GroupGroup PAC ID 6002729175, 11,250 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Baldwin Park, CA
  • NPI 1770515280

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• County of Monterey

  dba Adult Services Program Salinas Valley

  • Adult Mental Health Clinic/Center
  • Salinas, CA
  • NPI 1467584805
  Medicare reassignment
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Santa Clarita, CA
  • NPI 1316409410
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Inglewood, CA
  • NPI 1821635079
  NPD

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1417399742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 WILSHIRE BLVD STE 525",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034750",
            "telephone_number": "323-298-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 WILSHIRE BLVD STE 525",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90403",
            "telephone_number": "323-298-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1441 Constitution Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939063127",
            "country_code": "US",
            "telephone_number": "831-796-1704",
            "fax_number": "831-796-8686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1438 S Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631041027",
            "country_code": "US",
            "telephone_number": "314-977-4850",
            "fax_number": "314-977-4880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1441 Constitution Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "93906",
            "country_code": "US",
            "telephone_number": "831-796-1704",
            "fax_number": "831-796-8686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2730 Wilshire Blvd Ste 525",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904034750",
            "country_code": "US",
            "telephone_number": "323-298-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2730 Wilshire Blvd Ste 525",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904034750",
            "country_code": "US",
            "telephone_number": "323-298-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2730 Wilshire Blvd Ste 525",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "90403",
            "country_code": "US",
            "telephone_number": "323-298-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2730 Wilshire Blvd Ste 525",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904034750",
            "country_code": "US",
            "telephone_number": "323-298-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2730 Wilshire Blvd Ste 525",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "90403",
            "country_code": "US",
            "telephone_number": "323-298-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMANATKAR",
        "first_name": "HAMID REZA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-29",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A155209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHIATRY",
            "identifier": "1417399742",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "6041 Cadillac Ave",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900341702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alfredo Alvarez
• Jaime E Alvarez
• Thomas Angel Alvarez, PHARM D.
• Ralph Alvy, D.C.
• Alyssa Dazet Acupuncturist a Professional Corporation
• Amanda Marie Espy Family Therapy, Inc. (Field Psychology)
• Amanda Marie Espy Family Therapy, Inc. (Field Psychology)
• Lauren Ambriz
• Lizeth Medina Ambriz, BA
• Emily Ambrose, MS, ATC

• Child & Adolescent Psychiatry Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.