Individual provider Active NPI

Amalia A Armenta, MD

  • Internal Medicine Physician
  • Glendale, CA
National Provider Identifier
1902959240
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A80646 Issued in CA
Practice address
3600 N Verdugo Rd, Ste 301
Glendale, CA 91208
Phone
(818) 952-3075
Fax
(818) 952-5572
NPI assigned
Jan 19, 2007
Last updated
Oct 13, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A80646 CA Primary

Addresses

Primary practice location

3600 N Verdugo Rd, Ste 301
Glendale, CA 91208

Mailing address

3600 N Verdugo Rd, Ste 301
Glendale, CA 91208
Phone (818) 952-3075

Other identifiers 1

IdentifierTypeStateIssuer
OSD1060948OtherCADEPT OF PUBLIC HEALTH

Other names 1

  • Amalia A. Armenta Professional name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040510001705 CA Practitioner - Internal Medicine 4880683242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Wisconsin, 2002
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3600 N Verdugo Rd
Suite 301
Glendale, CA 91208-1258
Phone (818) 952-3075

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
80646CAMDPharmacist
A80646CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amalia a. Armenta, MD, Apc CurrentSince May 23, 2011 Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients

Locations

1808 Verdugo Blvd
Ste 408
Glendale, CA 91208
Phone (818) 952-3075

3600 N Verdugo Rd
Ste 301
Glendale, CA 91208
Phone (818) 952-3075

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: amalia.armenta.p18@direct.regal.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1902959240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 N VERDUGO RD, STE 301",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91208",
            "telephone_number": "818-952-3075",
            "fax_number": "818-952-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 N VERDUGO RD, STE 301",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91208",
            "telephone_number": "818-952-3075",
            "fax_number": "818-952-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMENTA",
        "first_name": "AMALIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A80646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF PUBLIC HEALTH",
            "identifier": "OSD1060948",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMALIA",
            "last_name": "ARMENTA",
            "middle_name": "A.",
            "credential": "MD APC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.