Individual provider Active NPI

Ashee Amjad Amjad Waryam, FNP

  • Nurse Practitioner
  • Merced, CA
National Provider Identifier
1760920391
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95006072 Issued in CA
Practice address
936 W Main St
Merced, CA 95340-4519
Phone
(209) 383-5200
Fax
(209) 383-5700
NPI assigned
Feb 2, 2017
Last updated
Mar 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95006072 CA Primary

Addresses

Primary practice location

936 W Main St
Merced, CA 95340-4519

Mailing address

PO Box 839
Merced, CA 95341-0839
Phone (209) 383-5200

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170822002762 CA Practitioner - Nurse Practitioner 8921370255 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1809 W Redlands Blvd
Redlands, CA 92373-8054
Phone (909) 335-3026

5320 Hwy 49 N
Suite 1 3
Mariposa, CA 95338-9588
Phone (209) 966-2344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Psychiatric Medical Group, Inc Nurse Practitioner CurrentSince Mar 4, 2021 Accepting new patients
Inland Psychiatric Medical Group, Inc. CurrentSince Mar 4, 2021 Accepting new patients
Castle Family Health Centers Inc Current Accepting new patients
Inland Psychiatric Medical Group, Inc. Current Accepting new patients
Cajon Medical Group, PC Past Accepting new patients
Inland Psychiatric Medical Group, Inc. Nurse Practitioner PastSince Apr 6, 2025 Accepting new patients
Pinnacle Medical Group, Inc. Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

3605 Hospital Rd
Atwater, CA 95301
Phone (209) 381-2000

162 N Santa Fe St
Hemet, CA 92543
Phone (951) 506-9522

81709 Doctor Carreon Blvd
Ste C1
Indio, CA 92201
Phone (760) 330-5161

11306 Mountain View Ave
Ste A
Loma Linda, CA 92354
Phone (909) 423-0408

23100 Eucalyptus Ave
Ste D
Moreno Valley, CA 92553
Phone (619) 881-4516

23110 Atlantic Cir
Ste F
Moreno Valley, CA 92553
Phone (951) 243-6455

73700 Dinah Shore Dr
Ste 106
Palm Desert, CA 92211
Phone (760) 832-6352

8710 Monroe Ct
Ste 150
Rancho Cucamonga, CA 91730
Phone (909) 941-4870

1809 W Redlands Blvd
Redlands, CA 92373
Phone (909) 307-1320

2372 Sterling Ave
Sn Bernrdno, CA 92404
Phone (909) 422-8029

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1760920391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 839",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953410839",
            "telephone_number": "209-383-5200",
            "fax_number": "209-383-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 W MAIN ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953404519",
            "telephone_number": "209-383-5200",
            "fax_number": "209-383-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMJAD WARYAM",
        "first_name": "ASHEE AMJAD",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-02",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95006072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.