NPIMap

Individual provider Active NPI

Ramin Amani, MD

  • Pediatrics Physician
  • Vista, CA
National Provider Identifier
1659366292
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A53984 Issued in CA
Practice address
950 Civic Center Dr # a
Vista, CA 92083-5208
Phone
(760) 439-4839
Fax
(760) 439-4841
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X A53984 CA
Pediatrics Physician 208000000X A53984 CA Primary

Addresses

Primary practice location

950 Civic Center Dr # a
Vista, CA 92083-5208

Mailing address

18766 Aceituro St
San Diego, CA 92128-1301
Phone (858) 761-2802

Other identifiers 1

IdentifierTypeStateIssuer
00A539840MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A53984CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-City Hospital Past Accepting new patients
Palomar Health Single Specialty Past Accepting new patients
Advanced Pediatric Medical Group Inc Past Accepting new patients
Vista Community Clinic Past Accepting new patients
Rady Children'S Hospital San Diego Past Accepting new patients
Ramin Amani MD Medical Corporation Past Accepting new patients
Pompano ER Pediatrics LLC Single Specialty Past Accepting new patients
Scripps Health Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ramin.amanimd.p1@direct.vistacommunityclinic.nextgenshare.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1659366292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18766 ACEITURO ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921281301",
            "telephone_number": "858-761-2802",
            "fax_number": "760-439-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 CIVIC CENTER DR # A",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920835208",
            "telephone_number": "760-439-4839",
            "fax_number": "760-439-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMANI",
        "first_name": "RAMIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CA",
            "license": "A53984",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A53984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A539840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.