Roya Amjadi, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95021464 Issued in CA

Practice address

2301 Newport Blvd
Costa Mesa, CA 92627-6576

Phone

(949) 981-2129

NPI assigned

Jul 27, 2022

Last updated

Jul 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: roya.amjadi.p1@direct.chsica.nextgenshare.com

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.

• Community Health Systems, Inc.

  dba Inland Empire Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Bloomington, CA
  • NPI 1952308009
  Medicare reassignment
• Community Health Systems, Inc.

  dba University Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Riverside, CA
  • NPI 1205102068
  NPD

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1962138545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3313 WATERMARKE PL",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926125621",
            "telephone_number": "949-981-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 NEWPORT BLVD",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926276576",
            "telephone_number": "949-981-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMJADI",
        "first_name": "ROYA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95021464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American Surgical Center-Oc
• Natalie Amerson
• Ames a Medical Corp (Acclain Occupational Medical Group Inc Nick Mashour)
• Bryan Amezquita
• Kayvon Amindari
• Jessica Amling, P.T.
• Amorist Hospice Care Inc
• Somi An
• Brittney Michele Anchondo
• Steven Jack Ancone Jr.

• Family Nurse Practitioner in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.