Individual provider Active NPI

Amanda Ahmadi, NP

  • Nurse Practitioner
  • Escondido, CA
National Provider Identifier
1639889983
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95060232 Issued in CA
Practice address
225 East Second Avenue
Escondido, CA 92025
Phone
(760) 291-6700
Fax
(760) 291-6700
NPI assigned
Nov 28, 2022
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95060232 CA Primary

Addresses

Primary practice location

225 East Second Avenue
Escondido, CA 92025

Mailing address

10790 Rancho Bernardo Rd
San Diego, CA 92127-5705
Phone (760) 806-5700

Other practice location 1

111 Campus Way Ste 301
San Marcos, CA 92078-4212
Phone (760) 806-5700

Other practice location 2

10710 N Torrey Pines Rd
LA Jolla, CA 92037-1035
Phone (858) 554-8984

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230404002380 CA Practitioner - Nurse Practitioner 8426423401 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Graybill Medical Group IncGroup PAC ID 9335050517, 103 clinicians

Practice addresses (Care Compare)

225 E 2ND Ave
Escondido, CA 92025-4212
Phone (866) 228-2236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arch Health Partners CurrentSince Jan 17, 2024 Accepting new patients
Balboa Nephrology Medical Group, Inc. Nurse Practitioner CurrentSince Apr 3, 2023 Accepting new patients
Balboa Nephrology Medical Group,Inc. CurrentSince Apr 3, 2023 Accepting new patients
Arch Health Partners, Inc CurrentSince Jan 17, 2024 Accepting new patients
Madi Med LLC CurrentSince Jan 1, 2025 Accepting new patients
Graybill Medical Group Inc CurrentSince Nov 11, 2024 Accepting new patients

Locations

737 W Hobsonway
Blythe, CA 92225
Phone (760) 922-4415

1980 Felicita Rd
Escondido, CA 92025
Phone (750) 741-6109

225 E 2nd Ave
Escondido, CA 92025

11100 Warner Ave
Ste 218
Fountain Vly, CA 92708
Phone (714) 424-0290

4225 Executive Sq
Ste 450
La Jolla, CA 92037
Phone (858) 810-8000

8851 Center Dr
Ste 505
La Mesa, CA 91942
Phone (619) 461-3880

15611 Pomerado Rd
Ste 400
Poway, CA 92064
Phone (858) 613-8900

15720 Bernardo Center Dr
San Diego, CA 92127
Phone (858) 500-2693

4060 4th Ave
Ste 220
San Diego, CA 92103
Phone (619) 299-2350

31565 Rancho Pueblo Rd
Ste 205
Temecula, CA 92592
Phone (760) 922-4415

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1639889983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10790 RANCHO BERNARDO RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921275705",
            "telephone_number": "760-806-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 EAST SECOND AVENUE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "92025",
            "telephone_number": "760-291-6700",
            "fax_number": "760-291-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Campus Way Ste 301",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "CA",
            "postal_code": "920784212",
            "country_code": "US",
            "telephone_number": "760-806-5700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10710 N Torrey Pines Rd",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920371035",
            "country_code": "US",
            "telephone_number": "858-554-8984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMADI",
        "first_name": "AMANDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95060232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.