Individual provider Active NPI

Amy Anne Tressan

  • Family Medicine Physician
  • Santa Ana, CA
National Provider Identifier
1972034411
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
159959 Issued in CA
Practice address
1421 E 17TH St
Santa Ana, CA 92705-8505
Phone
(310) 319-4700
NPI assigned
Mar 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 159959 CA Primary

Addresses

Primary practice location

1421 E 17TH St
Santa Ana, CA 92705-8505

Mailing address

801 E Katella Ave
Anaheim, CA 92805-6614
Phone (714) 633-6373

Other practice location 1

1873 Commercenter W
San Bernardino, CA 92408-3303
Phone (909) 890-5511

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260407003913 CA Practitioner - Family Practice 5890129910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1625 Schrader Blvd
Los Angeles, CA 90028-6213

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
159959CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Los Angeles Van Nuys Center Past Accepting new patients
Planned Parenthood/Orange and San Bernardino Counties, Inc. Past Accepting new patients
Cambridge Health Alliance Past Accepting new patients
Planned Parenthood/Orange and San Bernardino Counties, Inc. Past Accepting new patients
Planned Parenthood/Orange and San Bernardino Counties, Inc. Past Accepting new patients
Planned Parenthood Los Angeles -Baldwin Hills/Crenshaw Past Accepting new patients
Planned Parenthood of Greater New York Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: amy.tressanmd.p1@direct.plannedparenthoodla.nextgenshare.com

Organizations & group practices 8

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": "1490486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1972034411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E KATELLA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928056614",
            "telephone_number": "714-633-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 E 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058505",
            "telephone_number": "310-319-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1873 Commercenter W",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924083303",
            "country_code": "US",
            "telephone_number": "909-890-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRESSAN",
        "first_name": "AMY",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-26",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "159959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.