Individual provider Active NPI

Ferozuddin Amani, PA

  • Physician Assistant
  • Yuba City, CA
National Provider Identifier
1962481523
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
17678 Issued in CA
Practice address
334 Samuel Dr
Yuba City, CA 95991-6325
Phone
(530) 674-9200
Fax
(530) 674-5667
NPI assigned
Jan 12, 2006
Last updated
Dec 19, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 17678 CA Primary

Addresses

Primary practice location

334 Samuel Dr
Yuba City, CA 95991-6325

Mailing address

PO Box Ad
Yuba City, CA 95992-1396
Phone (530) 751-3769

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
I20050323001404 CA Practitioner - Physician Assistant 3072567585 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ampla Health CurrentSince Apr 30, 2017 Accepting new patients
Ampla Health CurrentSince Apr 30, 2017 Accepting new patients
Ampla Health PastSince Jan 1, 1990 Accepting new patients
Ampla Health PastSince Jan 1, 1990 Accepting new patients
Ampla Health PastSince Jan 1, 1990 Accepting new patients
Ampla Health PastSince Jan 1, 1990 Accepting new patients
Ampla Health PastSince Jan 1, 1990 Accepting new patients
Ampla Health PastSince Jan 1, 1990 Accepting new patients
Ampla Health PastSince Jan 1, 1990 Accepting new patients
Ampla Health PastSince Jan 1, 1990 Accepting new patients
Ampla Health PastSince Jan 1, 1990 Accepting new patients
Ampla Health PastSince Jan 1, 1990 Accepting new patients

Locations

555 Fremont St
#C
Colusa, CA 95932
Phone (530) 458-8635

2800 Lincoln St
Oroville, CA 95966
Phone (530) 534-7500

334 Samuel Dr
Yuba City, CA 95991
Phone (530) 674-9200

935 Market St
Yuba City, CA 95991
Phone (530) 674-4261

Interoperability endpoints

  • Direct secure messaging: ferozuddin.amani@ampla.eclinicaldirectplus.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1962481523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX AD",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959921396",
            "telephone_number": "530-751-3769",
            "fax_number": "530-751-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 SAMUEL DR",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959916325",
            "telephone_number": "530-674-9200",
            "fax_number": "530-674-5667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMANI",
        "first_name": "FEROZUDDIN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "17678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

Verify at the official NPI Registry.