Active NPI
John D Amar, MD
- Otolaryngology Physician
- Victorville, CA
National Provider Identifier
1912975772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- A30230
- Practice address
- 15247 Eleventh St Ste 200
Victorville, CA 92395-3727 - Phone
- (760) 245-8645
- Fax
- (760) 245-6798
- NPI assigned
- Mar 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngic Allergy Physician | 207YX0602X | A30230 | CA | |
| Otolaryngology Physician | 207Y00000X | A30230 | CA | Primary |
Addresses
Primary practice location
15247 Eleventh St Ste 200
Victorville, CA 92395-3727
Mailing address
15247 Eleventh St Ste 200
Victorville, CA 92395-3727
Phone (760) 245-8645
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 756041862 | Other | CA | RAILROAD MEDICARE |
| ZZZ37372 | Other | CA | BLUE SHIELD GROUP |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Coast Allergy & Asthma Medical Corporation. | 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.
-
- Allergy & Immunology Physician
- Victorville, CA
- NPI 1932256211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566950400000",
"number": "1912975772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15247 ELEVENTH ST STE 200",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923953727",
"telephone_number": "760-245-8645",
"fax_number": "760-245-6798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15247 ELEVENTH ST STE 200",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923953727",
"telephone_number": "760-245-8645",
"fax_number": "760-245-6798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMAR",
"first_name": "JOHN",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2019-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0602X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": "CA",
"license": "A30230",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "A30230",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "756041862",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD GROUP",
"identifier": "ZZZ37372",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.