Active NPI
Amber Donn Lantz, P.A.
- Physician Assistant
- Simi Valley, CA
National Provider Identifier
1720356447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA17529
- Practice address
- 1070 Country Club Dr
Suite C
Simi Valley, CA 93065-8371 - Phone
- (805) 306-0222
- NPI assigned
- Dec 8, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA17529 | CA | Primary |
Addresses
Primary practice location
1070 Country Club Dr
Suite C
Simi Valley, CA 93065-8371
Mailing address
1538 Triangle Cir
Denver, NC 28037-8033
Phone (805) 587-1193
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)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA17529 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1720356447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1538 TRIANGLE CIR",
"city": "DENVER",
"state": "NC",
"postal_code": "280378033",
"telephone_number": "805-587-1193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 COUNTRY CLUB DR",
"address_2": "SUITE C",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930658371",
"telephone_number": "805-306-0222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANTZ",
"first_name": "AMBER",
"middle_name": "DONN",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-08",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA17529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.