Amanda Cinquegrano, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95013217 Issued in CA

Practice address

136 N San Mateo Dr FL 2
San Mateo, CA 94401-2778

Phone

(650) 348-1242

Fax

(650) 348-0788

NPI assigned

Oct 24, 2016

Last updated

Mar 5, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Csi Medical Group

  • MOHS-Micrographic Surgery Physician
  • San Pedro, CA
  • NPI 1871909804
  Medicare reassignment NPD
• California Skin Institute, a Medical Corporation

  • Dermatology Physician
  • Mountain View, CA
  • NPI 1154527901
  NPD (past)

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1548711633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 FERNWOOD ST",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944034163",
            "telephone_number": "813-263-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 N SAN MATEO DR FL 2",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012778",
            "telephone_number": "650-348-1242",
            "fax_number": "650-348-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CINQUEGRANO",
        "first_name": "AMANDA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9293637",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95013217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019227900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2O62N",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Church
• Maryann Chwalek, SLP
• Richard Ray Cicinelli, M.D.
• Noah Daniel Cildir
• Adrianna Cimera, MASTER OF SCIENCE
• Amber Chantelle Cioffi, A.S.W.
• Luis Ciprez, LCSW
• Helen R Citrin
• Frances Claesson
• Clarissa Sin OD, Inc (Drs In Optometry)

• Family Nurse Practitioner in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.