Dennis Eugene Amundson, DO
Individual provider Active NPI Pulmonary Disease Physician · Encinitas, CA
NPI 1477524403 · NPPES record last updated Sep 24, 2012
Key facts
- NPI
- 1477524403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 20A4562 (CA)
- Practice address
- 320 Santa Fe Dr
Suite 308
Encinitas, CA 92024-5138 - Phone
- (760) 632-4269
- Fax
- (760) 632-4256
- NPI assigned
- Jan 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100429000902 | CA | Practitioner - Pulmonary Disease |
4385771914 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A4562 | CA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients |
Interoperability endpoints
- damundson28214@scrippshlth.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 20A4562 | CA | Yes |
Addresses
Primary practice location
320 Santa Fe Dr
Suite 308
Encinitas, CA 92024-5138
Mailing address
320 Santa Fe Dr
Suite 308
Encinitas, CA 92024-5138
Phone (760) 632-4269
Other providers in Encinitas, CA
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- Amy Chiou Aminlari
- Ardalan Aminlari
- Amy Bell LMFT Inc.
- Aaron Ray Anchondo
- Andalon Physical Therapy, Inc
- Dawn Dimitris Andalon
- Oscar G Andalon
All providers in Encinitas, CA · Pulmonary Disease Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.