AMANDA MARIE STALEY (NPI# 1740826601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740826601 |
| Entity Type | Individual |
| Full Name | AMANDA MARIE STALEY |
| Practice Address |
11175 Campus St Ste 11120 Loma Linda CA 92350-1700 |
| Practice Telephone | 9095588291 |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2019-11-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95011691 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356759757 | Amanda Staley | Occupational Therapist | 1616 W Germann Rd, Apt 2058, Chandler, AZ 85286-6998 | 2014-07-29 |
| Street Address |
11175 CAMPUS ST STE 11120 |
| City | LOMA LINDA |
| State | CA |
| Zip Code | 92350-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841580339 | Pedro Alcantara De Andrade Filho | Otolaryngology | 11175 Campus St Ste 11120, Loma Linda, CA 92350-1700 | 2011-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164059010 | Stephanie Abandy | Student in an Organized Health Care Education/Training Program | 11262 Campus Street - West Hall, West Hall, Loma Linda, CA 92350 | 2020-03-23 |
| 1275911844 | Rosemarie Florian | Internal Medicine | 11234 Anderson St Rm 1503, Loma Linda, CA 92350 | 2015-05-14 |
| 1235525403 | Diana Derosa Villarreal | Pediatrics | 11175 Campus St. Cp-a1111, Department of Pediatrics, Loma Linda, CA 92350 | 2015-04-14 |
| 1609212919 | Daniel Eldridge Smith | Surgery | 11175 Campus St # 21111, Loma Linda, CA 92350 | 2013-05-14 |
| 1992057269 | Hildemar Feliciano Dos Santos | Nutritionist | 25040 Stewart Street, Loma Linda, CA 92350 | 2012-10-10 |
| 1184910762 | Kristyn Anne Mannoia | Surgery | 11234 Anderson Ave Ste 2100, Loma Linda, CA 92350 | 2011-06-22 |
| 1760774947 | Loma Linda University | Special Hospital | 1234 Anderson Street, Gme Office Csp 21005, Loma Linda, CA 92350 | 2011-05-06 |
| 1144547977 | Andrei Radulescu | Surgery | 11175 Campus St Ste 21111, Loma Linda, CA 92350 | 2010-05-04 |
| 1619102845 | Wing Sze Esther Yung | Surgery | 11175 Campus Street #21111, Loma Linda Universiy Healthcare System, Loma Linda, CA 92350 | 2009-05-18 |
| 1679720734 | Ronald Lee Young | Dentist | 11092 Anderson Streeet, Llu School of Dentistry, Loma Linda, CA 92350 | 2008-08-20 |
| Find all providers in zip 92350 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831736958 | Jasdeep Kaur | Nurse Practitioner | 26064 Arroyo Ln, Loma Linda, CA 92354-6522 | 2019-12-09 |
| 1508321563 | Neander P. Tabingo | Nurse Practitioner | Loma Linda Va Medical Center 11201 Benton St, Loma Linda, CA 92357-0001 | 2019-02-04 |
| 1578070850 | Stanley Lumban Tobing | Nurse Practitioner | 25612 Barton Rd # 179, Loma Linda, CA 92354-3110 | 2018-01-08 |
| 1548702459 | Katherine S Diamond | Nurse Practitioner | 11234 Anderson St # A220, Loma Linda, CA 92354-2804 | 2016-11-08 |
| 1689090748 | Megan Marie Schatzschneider | Nurse Practitioner | 24785 Stewart Street, Evans Hall, Suite 111, Loma Linda, CA 92354 | 2014-03-13 |
| 1700162575 | Gergette Love Datan Sacay | Nurse Practitioner | 11370 Anderson Street Suite 3600, Loma Linda, CA 92354-3130 | 2011-10-25 |
| 1619252152 | Sarah Elizabeth Van Tassell | Nurse Practitioner | 25835 Barton Rd, Suite 101, Loma Linda, CA 92354-3897 | 2011-10-16 |
| 1215173653 | Kimberly Ann Bluff | Nurse Practitioner | 11234 Anderson St # A600, Loma Linda, CA 92354-2804 | 2009-01-06 |
| 1366624090 | Xiaoxia Yu | Nurse Practitioner | 24414 University Ave Spc 2, Loma Linda, CA 92354-2647 | 2007-12-05 |
| 1760663868 | Access Staffing | Nurse Practitioner | 11467 Via Lagos, Loma Linda, CA 92354-3851 | 2007-11-16 |
| Find all providers in LOMA LINDA | ||||
| City | LOMA LINDA |
| Zip Code | 92350 |
Please comment or provide details below to improve the information on AMANDA MARIE STALEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.