Amanda Que-Anh La, PHARM.D.

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

69480 Issued in CA

Practice address

525 Oregon St
Vallejo, CA 94590-3201

Phone

(707) 648-2200

Fax

(707) 649-4045

NPI assigned

Sep 12, 2014

Last updated

Dec 29, 2014By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1578964136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5082 STAGHORN DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945918580",
            "telephone_number": "714-489-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 OREGON ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945903201",
            "telephone_number": "707-648-2200",
            "fax_number": "707-649-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA",
        "first_name": "AMANDA",
        "middle_name": "QUE-ANH",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-12",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "69480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Clinica de la Raza Inc (La Clinica Vallejo Dental)
• La Clinica de la Raza Inc (La Clinica Vallejo)
• La Clinica de la Raza Inc (La Clinica Vallejo Great Beginnings)
• La Clinica de la Raza, Inc. (La Clinica North Vallejo)
• La Clinica de la Raza, Inc. (La Clinica North Vallejo)
• Connor James Labella, PA-C
• Laboratory Corporation of America Holdings
• Angela Ancheta Laco
• Jena Lacy
• Maria Cecilia Ferrer Ladao

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.