Organization Active NPI

Amn Healthcare

  • Home Health Agency
  • San Diego, CA
National Provider Identifier
1770916934
Registry record updated Aug 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
28107 Issued in CA
Legal business name
AMN HEALTHCARE
Practice address
12400 High Bluff Dr
San Diego, CA 92130-3077
Phone
(858) 792-0711
Fax
(866) 803-9448
NPI assigned
Aug 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2013

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

Authorized official

Name
Joni L Carnevale, MPT
Title
Physical Therapist
Phone
(724) 448-9688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 28107 CA Primary

Addresses

Primary practice location

12400 High Bluff Dr
San Diego, CA 92130-3077

Mailing address

1077 Martin Ave
New Kensington, PA 15068-5017
Phone (724) 448-9688

Other names 1

  • Club Staffing Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376265600000",
    "number": "1770916934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 MARTIN AVE",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "150685017",
            "telephone_number": "724-448-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 HIGH BLUFF DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303077",
            "telephone_number": "858-792-0711",
            "fax_number": "866-803-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMN HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-12",
        "last_updated": "2013-08-12",
        "status": "A",
        "authorized_official_last_name": "CARNEVALE",
        "authorized_official_first_name": "JONI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "724-448-9688",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "28107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Club Staffing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.