Individual provider Active NPI

Amanda L Peoples, NP

  • Family Nurse Practitioner
  • Modesto, CA
National Provider Identifier
1770090508
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
681461 Issued in CA
Practice address
3708 Poinsettia Dr
Modesto, CA 95356-1416
Phone
(510) 789-9839
NPI assigned
Jan 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 681461 CA Primary

Addresses

Primary practice location

3708 Poinsettia Dr
Modesto, CA 95356-1416

Mailing address

3708 Poinsettia Dr
Modesto, CA 95356-1416
Phone (510) 789-9839

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
I20191227002005 CA Practitioner - Nurse Practitioner 9234563214 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Enloe Medical CenterGroup PAC ID 9739092388, 330 clinicians

Practice addresses (Care Compare)

185 E 7TH Ave
Chico, CA 95926-3356
Phone (530) 332-4400

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
681461CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California CurrentSince Oct 28, 2023 Accepting new patients
Cep America - California Current Accepting new patients
Cep America - California CurrentSince Oct 28, 2023 Accepting new patients
Cep America - California Current Accepting new patients
Desert Heart Physicians Medical Group, Inc. CurrentSince Oct 10, 2022 Accepting new patients
Global Wound Care Medical Group CurrentSince May 6, 2024 Accepting new patients
Cep America-California CurrentSince Oct 28, 2023 Accepting new patients
Desert Heart Physicians Medical Group, Inc. CurrentSince Oct 10, 2022 Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

5901 W Century Blvd
Ste 750
Los Angeles, CA 90045
Phone (323) 843-2861

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

41990 Cook St
Ste 601
Palm Desert, CA 92211
Phone (760) 360-4446

1180 N Indian Canyon Dr
Ste E319
Palm Springs, CA 92262
Phone (700) 325-1203

180 Promenade Cir
Ste 300
Sacramento, CA 95834
Phone (916) 352-6232

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1770090508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 POINSETTIA DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953561416",
            "telephone_number": "510-789-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 POINSETTIA DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953561416",
            "telephone_number": "510-789-9839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEOPLES",
        "first_name": "AMANDA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-02",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "681461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.