Active NPI
Dena Amr, MD
- Surgery Physician
- Los Alamitos, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A78876
- Practice address
- 3791 Katella Ave. #201
Vascular & General Surgery Assoc
Los Alamitos, CA 90720 - Phone
- (562) 596-6736
- Fax
- (562) 596-5387
- NPI assigned
- Jan 8, 2007
- Last updated
- May 14, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A78876 | CA | Primary |
Addresses
Primary practice location
3791 Katella Ave. #201
Vascular & General Surgery Assoc
Los Alamitos, CA 90720
Mailing address
3791 Katella Ave. #201
Vascular & General Surgery Assoc
Los Alamitos, CA 90720
Phone (562) 596-6736
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A78876 | Other | CA | LICENSE |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Wisconsin School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18225 Brookhurst St
Suite 1
Fountain Valley, CA 92708-6719
Phone (714) 861-4560
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 16 |
| Mastectomy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78876 | CA | MD | Clinical Social Worker |
| A78876 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tam H. Le, MD Inc. | Current | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients | |
| Memorial Medical Group Inc | Past | Accepting new patients | |
| Good Samaritan Hospital, L.P. | Past | Accepting new patients | |
| Long Beach Memorial Medical | Past | Accepting new patients | |
| Orange Coast Memorial Medical Center | Past | Accepting new patients | |
| Los Alamitos Medical Center, Inc. | Past | Accepting new patients |
Locations
18225 Brookhurst St
Ste 1
Fountain Vly, CA 92708
Phone (714) 861-4560
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 7
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.
-
- Specialist
- Fountain Valley, CA
- NPI 1770544652
-
dba Good Samaritan Hospital
- General Acute Care Hospital
- San Jose, CA
- NPI 1376595777
-
- Rehabilitation Hospital Unit
- Long Beach, CA
- NPI 1396791414
-
dba Los Alamitos Medical Center
- Psychiatric Hospital Unit
- Los Alamitos, CA
- NPI 1497780084
-
- General Acute Care Hospital
- Fountain Valley, CA
- NPI 1497702575
-
dba UCI Health Lakewood
- General Acute Care Hospital
- Lakewood, CA
- NPI 1184655581
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1255523643
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fountain Valley, CA
- NPI 1497702575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273795200000",
"number": "1710035746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3791 KATELLA AVE. #201",
"address_2": "VASCULAR & GENERAL SURGERY ASSOC",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "90720",
"telephone_number": "562-596-6736",
"fax_number": "562-596-5387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3791 KATELLA AVE. #201",
"address_2": "VASCULAR & GENERAL SURGERY ASSOC",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "90720",
"telephone_number": "562-596-6736",
"fax_number": "562-596-5387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMR",
"first_name": "DENA",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2010-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A78876",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "A78876",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Alamitos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; 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.