Organization Active NPI

John D Amar MD Inc

Doing business as Amar Medical Associates

  • Otolaryngology Physician
  • Victorville, CA
National Provider Identifier
1609923994
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
JOHN D AMAR MD INC
Doing business as
Amar Medical Associates
Practice address
12370 Hesperia Rd
Suite 1
Victorville, CA 92395-4787
Phone
(760) 245-8645
Fax
(760) 245-6798
NPI assigned
Jan 5, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mrs. Carmella Maria Amar
Title
Corp. Secretary
Phone
(760) 245-8645

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X CA Primary
Surgery Physician 208600000X CA
Audiologist 231H00000X CA

Addresses

Primary practice location

12370 Hesperia Rd
Suite 1
Victorville, CA 92395-4787

Mailing address

12370 Hesperia Rd
Suite 1
Victorville, CA 92395-4787
Phone (760) 245-8645

Other identifiers 7

IdentifierTypeStateIssuer
1912975772OtherCAAMAR IND NPI #
ZZZ37372ZOtherCABLUE SHIELD PROV ID
1609923994OtherCAGROUP NPI
GY395ZOtherCASTEVEN REICHENBACH, AUD PTAN#
1689752867OtherCALEAZURE IND NPI#
756041862OtherCAMEDICARE RAILROAD
1255347480OtherCASTEVEN REICHENBACH AU.D. IND NPI#

Other names 1

  • Amar Medical Associates Doing business as

National Provider Directory

National Provider Directory

Locations

222 E Main St
Ste 201
Barstow, CA 92311
Phone (760) 256-8569

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1609923994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12370 HESPERIA RD",
            "address_2": "SUITE 1",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923954787",
            "telephone_number": "760-245-8645",
            "fax_number": "760-245-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12370 HESPERIA RD",
            "address_2": "SUITE 1",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923954787",
            "telephone_number": "760-245-8645",
            "fax_number": "760-245-6798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D AMAR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "AMAR",
        "authorized_official_first_name": "CARMELLA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "CORP. SECRETARY",
        "authorized_official_telephone_number": "760-245-8645",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMAR IND NPI #",
            "identifier": "1912975772",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROV ID",
            "identifier": "ZZZ37372Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1609923994",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STEVEN REICHENBACH, AUD PTAN#",
            "identifier": "GY395Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEAZURE IND NPI#",
            "identifier": "1689752867",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "756041862",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STEVEN REICHENBACH AU.D. IND NPI#",
            "identifier": "1255347480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amar Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.