Amy E. Neterer, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA21129 Issued in CA

Practice address

27472 Portola Pkwy
Suite 205-#151
Foothill Ranch, CA 92610-2853

Phone

(949) 455-4920

NPI assigned

Aug 28, 2010

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

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

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Portola Medical Services PCGroup PAC ID 4789970773, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: amy.neterer.1@15000.direct.athenahealth.com

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.

• Portola Medical Services PC

  • Urgent Care Clinic/Center
  • Lake Forest, CA
  • NPI 1871962076
  Medicare reassignment Care Compare group
• Cypress Urgent Care, Inc

  • Urgent Care Clinic/Center
  • Cypress, CA
  • NPI 1881836989
  NPD (past)

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

{
    "created_epoch": "1282953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449792000000",
    "number": "1588970537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27472 PORTOLA PKWY",
            "address_2": "#205-#151",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926102853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27472 PORTOLA PKWY",
            "address_2": "SUITE 205-#151",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926102853",
            "telephone_number": "949-455-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NETERER",
        "first_name": "AMY",
        "middle_name": "E.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-28",
        "last_updated": "2015-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA21129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nasem Dunlop DMD Inc
• Nasem Mojarrad DMD Apc
• Melika Nasr, PHARMD
• National Vision, Inc.
• Shabnam Nejati, D.D.S.
• Andrea Chau Nguyen, O.D.
• Khanh Nguyen, PHARM.D
• Luan Dinh Nguyen, DDS
• Nhuthoa Vu Nguyen, PHARMD
• Oc Pediatrics Medical Group Inc

• Medical Physician Assistant in Foothill Ranch, CA
• Providers in Foothill Ranch, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.