Active NPI
Amanda Ann Kofod, DDS
- Dentist
- Monterey Park, CA
National Provider Identifier
1831075787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS111814
- Practice address
- 2312 S Garfield Ave
Monterey Park, CA 91754-7220 - Phone
- (323) 722-1315
- NPI assigned
- Aug 14, 2025
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DDS111814 | CA | Primary |
Addresses
Primary practice location
2312 S Garfield Ave
Monterey Park, CA 91754-7220
Mailing address
1248 Cedaredge Ave
Los Angeles, CA 90041-1537
Phone (323) 333-3667
Other practice location 1
212 S El Molino Ave Ste 3
Pasadena, CA 91101-6501
Phone (626) 792-7900
Other practice location 2
10701 Riverside Dr
Toluca Lake, CA 91602-2384
Phone (818) 762-9966
Other names 1
- Amanda Ann Alvarado
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS111814 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clear Choice Dental | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Monterey Park, CA
- NPI 1922311752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1831075787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1248 CEDAREDGE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900411537",
"telephone_number": "323-333-3667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2312 S GARFIELD AVE",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917547220",
"telephone_number": "323-722-1315"
}
],
"practiceLocations": [
{
"address_1": "212 S El Molino Ave Ste 3",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911016501",
"country_code": "US",
"telephone_number": "626-792-7900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10701 Riverside Dr",
"address_purpose": "LOCATION",
"city": "Toluca Lake",
"state": "CA",
"postal_code": "916022384",
"country_code": "US",
"telephone_number": "818-762-9966",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOFOD",
"first_name": "AMANDA",
"middle_name": "ANN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-14",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS111814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "ALVARADO",
"middle_name": "ANN",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Monterey Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.