Individual provider Active NPI

Amanda L Jamal

  • Family Medicine Physician
  • Modesto, CA
National Provider Identifier
1982137212
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A159540 Issued in CA
Practice address
401 Paradise Rd
Modesto, CA 95351-3163
Phone
(209) 558-4000
NPI assigned
Apr 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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 A159540 CA Primary

Addresses

Primary practice location

401 Paradise Rd
Modesto, CA 95351-3163

Mailing address

260 W Court St
Apt 26
Woodland, CA 95695-2562
Phone (916) 209-0401

Other practice location 1

1020 Acacia Ave
Torrance, CA 90501-2010
Phone (916) 209-0401

Other practice location 2

830 Scenic Dr
Modesto, CA 95350-6131
Phone (209) 558-8400

Other practice location 3

1030 Scenic Dr
Modesto, CA 95350-6133
Phone (209) 558-7248

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
I20200828001169 CA Practitioner - Family Practice 0941627418 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Geffen School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalists of Modesto Medical Group IncGroup PAC ID 2567360027, 87 clinicians
Golden Valley Health CentersGroup PAC ID 4183527187, 114 clinicians
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

1441 Florida Ave
Modesto, CA 95350-4405
Phone (209) 576-3525

2101 Tenaya Dr
Modesto, CA 95354-3930
Phone (209) 722-4842

2800 L St
Sacramento, CA 95816-5616

Hospital & facility affiliations

  • Doctors Medical Center Hospital, Modesto, CA, CCN 050464

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A159540CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scenic Faculty Medical Group, Inc. Family Medicine CurrentSince Sep 1, 2020 Accepting new patients
Golden Valley Health Center CurrentSince Jul 1, 2024 Accepting new patients
Sutter Valley Medical Foundation Family Medicine Current Accepting new patients
Sutter Valley Medical Foundation Family Medicine CurrentSince Feb 8, 2021 Accepting new patients
Hospitalists of Modesto Medical Group Inc CurrentSince Aug 1, 2024 Accepting new patients
Golden Valley Health Centers Current Accepting new patients
Golden Valley Health Centers CurrentSince Jul 1, 2024 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Feb 8, 2021 Accepting new patients
Hospitalists of Modesto Medical Group Past Accepting new patients
Golden Valley Health Center Past Accepting new patients

Locations (25 of 31)

1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

2412 3rd St
Hughson, CA 95326
Phone (209) 558-7250

13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900

821 Texas Ave
Los Banos, CA 93635
Phone (209) 385-5481

250 Northgate Dr
Manteca, CA 95336
Phone (209) 239-5299

847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441

797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871

3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104

1030 Scenic Dr
Modesto, CA 95350
Phone (209) 558-5608

1121 Hammond St
Modesto, CA 95351
Phone (209) 576-4437

401 Paradise Rd
Ste E
Modesto, CA 95351
Phone (209) 558-4000

401 Paradise Rd
Ste E102
Modesto, CA 95351
Phone (209) 558-4000

1114 6th St
Modesto, CA 95354
Phone (209) 576-2845

830 Scenic Dr
Modesto, CA 95350
Phone (209) 558-7000

401 Paradise Rd
Ste E103
Modesto, CA 95351

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

401 Paradise Rd
Ste E101
Modesto, CA 95351

1524 McHenry Ave
Ste 570
Modesto, CA 95350
Phone (209) 572-3880

1700 McHenry Ave
Ste 65B
Modesto, CA 95350
Phone (209) 581-7063

401 Paradise Rd
Ste E104
Modesto, CA 95351

1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071

2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 576-6766

1031 15th St
Ste 6
Modesto, CA 95354
Phone (209) 558-8400

637 Merced St
Newman, CA 95360
Phone (209) 862-0270

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ajamal566768@hisp.ehr.sutterhealth.org

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1982137212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 W COURT ST",
            "address_2": "APT 26",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956952562",
            "telephone_number": "916-209-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 PARADISE RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953513163",
            "telephone_number": "209-558-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 Acacia Ave",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905012010",
            "country_code": "US",
            "telephone_number": "916-209-0401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "830 Scenic Dr",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953506131",
            "country_code": "US",
            "telephone_number": "209-558-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1030 Scenic Dr",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953506133",
            "country_code": "US",
            "telephone_number": "209-558-7248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMAL",
        "first_name": "AMANDA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A159540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.