Individual provider Active NPI

Amanda Marie Agrela Pires, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fresno, CA
National Provider Identifier
1831716695
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
6008 Issued in CA
Practice address
6145 N Thesta St
Fresno, CA 93710-5266
Phone
(559) 436-4820
NPI assigned
Jun 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 6008 CA
Foot & Ankle Surgery Podiatrist 213ES0103X 6008 CA Primary

Addresses

Primary practice location

6145 N Thesta St
Fresno, CA 93710-5266

Mailing address

1910 Customer Care Way
Atwater, CA 95301-5167
Phone (209) 722-4842

Other practice location 1

1524 McHenry Ave Ste 300
Modesto, CA 95350-4570
Phone (209) 722-4842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230803000044 PA Practitioner - Podiatry 7810303302 Reassigns benefits to 1 organization
I20240216002221 CA Practitioner - Podiatry 7810303302 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden Valley Health CentersGroup PAC ID 4183527187, 114 clinicians

Practice addresses (Care Compare)

1524 McHenry Ave
Suite 300
Modesto, CA 95350-4570
Phone (209) 722-4842

847 W Childs Ave
Merced, CA 95341-6862
Phone (209) 722-4842

857 W Childs Ave
Merced, CA 95341-6862
Phone (209) 722-4842

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue11
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6008CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group Podiatrist Current Accepting new patients
Golden Valley Health Centers CurrentSince Jan 1, 2025 Accepting new patients
Community Foundation Medical Group CurrentSince Mar 1, 2024 Accepting new patients
Pedirite Medical PA PLLC Podiatrist CurrentSince Jun 6, 2023 Accepting new patients
Golden Valley Health Centers CurrentSince Jan 1, 2025 Accepting new patients
Golden Valley Health Centers Current Accepting new patients
Valley Medical Providers Podiatrist PastSince May 7, 2023 Accepting new patients

Locations (25 of 31)

1910 Customer Care Way
Atwater, CA 95301
Phone (209) 384-6488

3109 E Whitmore Ave
Ceres, CA 95307
Phone (209) 541-2929

1516 Shaw Ave
Clovis, CA 93611
Phone (559) 228-5400

1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111

6145 N Thesta St
Fresno, CA 93710
Phone (559) 436-4820

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

2900 Fresno St
Ste 104
Fresno, CA 93721
Phone (559) 570-5377

6153 N Thesta St
Fresno, CA 93710
Phone (559) 432-5156

13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900

821 Texas Ave
Los Banos, CA 93635
Phone (209) 385-5481

1100 E Almond Ave
Ste 102
Madera, CA 93637
Phone (559) 570-5377

250 Northgate Dr
Manteca, CA 95336
Phone (209) 239-5299

3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104

847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441

797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871

857 W Childs Ave
Merced, CA 95341
Phone (209) 384-2706

847 W Childs Ave
Ste Abc
Merced, CA 95341

1121 Hammond St
Modesto, CA 95351
Phone (209) 576-4437

1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071

2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 576-6766

1524 McHenry Ave
Ste 550
Modesto, CA 95350
Phone (209) 557-5995

1114 6th St
Modesto, CA 95354
Phone (209) 576-2845

1524 McHenry Ave
Ste 300
Modesto, CA 95350
Phone (209) 527-0615

637 Merced St
Newman, CA 95360
Phone (209) 862-0270

200 C St
Patterson, CA 95363
Phone (209) 892-6307

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1593302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1831716695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 CUSTOMER CARE WAY",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953015167",
            "telephone_number": "209-722-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6145 N THESTA ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105266",
            "telephone_number": "559-436-4820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1524 McHenry Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953504570",
            "country_code": "US",
            "telephone_number": "209-722-4842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIRES",
        "first_name": "AMANDA",
        "middle_name": "MARIE AGRELA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-28",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "6008",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "6008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.