Individual provider Active NPI

Erika Lee Amthor, PA-C

  • Medical Physician Assistant
  • Riverside, CA
National Provider Identifier
1962808477
Registry record updated Nov 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
52138 Issued in CA
Practice address
7095 Indiana Ave Ste 210
Riverside, CA 92506-4159
Phone
(951) 222-2212
NPI assigned
Nov 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 52138 CA Primary

Addresses

Primary practice location

7095 Indiana Ave Ste 210
Riverside, CA 92506-4159

Mailing address

1593 Robin Marie CT
Riverside, CA 92501-1783
Phone (951) 905-8356

Other identifiers 1

IdentifierTypeStateIssuer
52138OtherCASTATE OF CALIFORNIA

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
52138CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sublime MD, a Professional Medical Corporation PastSince Nov 9, 2021 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.

NPI Registry JSON

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

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415664000000",
    "number": "1962808477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1593 ROBIN MARIE CT",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925011783",
            "telephone_number": "951-905-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7095 INDIANA AVE STE 210",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064159",
            "telephone_number": "951-222-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMTHOR",
        "first_name": "ERIKA",
        "middle_name": "LEE",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-11",
        "last_updated": "2014-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "52138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CALIFORNIA",
            "identifier": "52138",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.