Individual provider Active NPI

Amanda Yadira Barrio, FNP

  • Family Nurse Practitioner
  • Santa Ana, CA
National Provider Identifier
1467980243
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95012309 Issued in CA
Practice address
2650 S Bristol St Ste 101
Santa Ana, CA 92704-5751
Phone
(714) 754-1444
Fax
(714) 754-7009
NPI assigned
May 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN9287874 FL
Family Nurse Practitioner 363LF0000X ARNP9287874 FL
Family Nurse Practitioner 363LF0000X 95012309 CA Primary

Addresses

Primary practice location

2650 S Bristol St Ste 101
Santa Ana, CA 92704-5751

Mailing address

2650 S Bristol St Ste 101
Santa Ana, CA 92704-5751
Phone (714) 754-1444

Other practice location 1

4866 Big Island Dr
Jacksonville, FL 32246-7498
Phone (904) 652-0652

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220601001048 CA Practitioner - Nurse Practitioner 9234517392 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9287874FLMDFamily Nurse Practitioner
RN9287874FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mommy and Me Medical Group, Inc. CurrentSince May 1, 2022 Accepting new patients
Reuben C Castillo, Professional Corporation PastSince May 1, 2022 Accepting new patients

Locations

498 W 4th St
Perris, CA 92570
Phone (951) 657-5441

1688 N Perris Blvd
Ste H4
Perris, CA 92571
Phone (951) 647-7876

595 N Arrowhead Ave
Sn Bernrdno, CA 92401

Interoperability endpoints

  • Direct secure messaging: amanda.barrio.p2@direct.mpmccorp.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: amanda.barrio.p6@direct.mpmccorp.nextgenshare.com
  • Direct secure messaging: amanda.barrio.p4@direct.scpeds.nextgenshare.com

Organizations & group practices 2

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": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1467980243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 S BRISTOL ST STE 101",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045751",
            "telephone_number": "714-754-1444",
            "fax_number": "714-754-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 S BRISTOL ST STE 101",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045751",
            "telephone_number": "714-754-1444",
            "fax_number": "714-754-7009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4866 Big Island Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322467498",
            "country_code": "US",
            "telephone_number": "904-652-0652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRIO",
        "first_name": "AMANDA",
        "middle_name": "YADIRA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-24",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "RN9287874",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9287874",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.