Amanda Lee Mondor, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

95012357 Issued in CA

Practice address

6281 Santa Barbara Ave
Garden Grove, CA 92845-1246

Phone

(310) 562-1399

NPI assigned

Dec 4, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1700423266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6281 SANTA BARBARA AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928451246",
            "telephone_number": "310-562-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6281 SANTA BARBARA AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928451246",
            "telephone_number": "310-562-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDOR",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95012357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Abrubaker@memorialcare.org",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6281 Santa Barbara Ave",
            "city": "Garden Grove",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928451246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Liseth Carolina Molina
• Mireya Molina
• Julie Mominee, MA, BCBA
• Isaak Momsen
• Lovely Mondesir
• Hannah Mondragon
• Elizabeth Monico
• Rosemary Monje
• Ashley Nicole Monroe
• Monique Monroe

• Acute Care Nurse Practitioner in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Acute Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.