Active NPI
Amanda Nakamura, FNP
- Family Nurse Practitioner
- Burbank, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95018202
- Practice address
- 511 N Hollywood Way
Burbank, CA 91505-3406 - Phone
- (818) 841-0710
- NPI assigned
- Jul 13, 2021
- Last updated
- Aug 25, 2021
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95018202 | CA | Primary |
Addresses
Primary practice location
511 N Hollywood Way
Burbank, CA 91505-3406
Mailing address
3815 W Avenue 43 Apt 201
Los Angeles, CA 90041-3526
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95018202 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nightingale Clinical Care, PC | Current | Accepting new patients | |
| Total Renal Care Inc | Past | Accepting new patients |
Locations
2438 N Ponderosa Dr
Ste C101
Camarillo, CA 93010
Phone (559) 664-9252
4445 Riverside Dr
Chino, CA 91710
Phone (760) 202-3491
510 E North Way
Dinuba, CA 93618
Phone (209) 473-2294
11690 San Pablo Ave
El Cerrito, CA 94530
501 E Almond Ave
Madera, CA 93637
Phone (559) 664-9252
3001 Health Care Way
Ste 102
Modesto, CA 95356
Phone (559) 664-9255
78030 Wildcat Dr
Ste 101
Palm Desert, CA 92211
Phone (908) 845-4494
320 James Way
Ste 100
Pismo Beach, CA 93449
Phone (209) 827-3973
3 Rossi Cir
Unit A
Salinas, CA 93907
Phone (760) 371-7506
9850 Carmel Mountain Rd
San Diego, CA 92129
Phone (805) 764-0171
555 W Benjamin Holt Dr
Ste 200
Stockton, CA 95207
Phone (661) 725-1370
50 W Syracuse Ave
Turlock, CA 95380
Phone (209) 656-7299
30730 Russell Ranch Rd
Ste A
Westlake Village, CA 91362
Phone (805) 643-7549
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Riverside, CA
- NPI 1972159069
-
dba Kelley Corners Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Lake City, SC
- NPI 1598204802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1760054423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3815 W AVENUE 43 APT 201",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900413526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 N HOLLYWOOD WAY",
"city": "BURBANK",
"state": "CA",
"postal_code": "915053406",
"telephone_number": "818-841-0710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKAMURA",
"first_name": "AMANDA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-13",
"last_updated": "2021-08-25",
"certification_date": "2021-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95018202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.