Individual provider Active NPI

Amanda Ling, NP

  • Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1912350752
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95007837 Issued in CA
Practice address
1001 Potrero Ave
San Francisco, CA 94110-3518
Phone
(628) 206-8000
NPI assigned
Jul 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95007837 CA Primary
Registered Nurse 163W00000X 22701653 NY

Addresses

Primary practice location

1001 Potrero Ave
San Francisco, CA 94110-3518

Mailing address

2355 Broadway Apt 201
Oakland, CA 94612-2486
Phone (952) 237-2870

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
I20171109002401 CA Practitioner - Nurse Practitioner 0345506275 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22701653NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
City & County of San Francisco Current Accepting new patients
University of California San Francisco CurrentSince Mar 1, 2020 Accepting new patients
Cep America - Psychiatry PC CurrentSince Oct 24, 2017 Accepting new patients
University of California San Francisco Current Accepting new patients
Regents of the University of California CurrentSince Mar 1, 2020 Accepting new patients
UCSF Medical Group Business Services CurrentSince Mar 1, 2020 Accepting new patients
Cep America - Psychiatry PC Current Accepting new patients
City and County of San Francisco CurrentSince Jul 6, 2021 Accepting new patients
Cep America - Psychiatry PC CurrentSince Oct 24, 2017 Accepting new patients
UCSF Medical Group Business Services Nurse Practitioner CurrentSince Mar 1, 2020 Accepting new patients
University of California San Francisco CurrentSince Mar 1, 2020 Accepting new patients
City & County of San Francisco Past Accepting new patients

Locations

2740 Grant St
Concord, CA 94520
Phone (800) 680-6555

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

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

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

1325 Cottonwood St
Woodland, CA 95695
Phone (530) 662-3961

Organizations & group practices 12

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": "1468713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1912350752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 BROADWAY APT 201",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122486",
            "telephone_number": "952-237-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "628-206-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LING",
        "first_name": "AMANDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-17",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95007837",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "22701653",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.