Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750745493 Individual Practitioner Female Practitioner

Dr. Amanda Rose Ji , MD

Pediatrics • Spring Valley, CA

Professional Overview & Biography Verified Profile Summary

Dr. Amanda Ji, MD is a registered healthcare professional specializing in Pediatrics in Spring Valley, CA. Practice services are available at 8788 JAMACHA RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8788 Jamacha Rd

Spring Valley, CA 919774035

Telephone 6195152555
Fax 6194625584
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Spring Valley, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Spring Valley, CA (9612 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-06-30
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA A169342

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

3959 Broadway

New York, NY 100321559

Phone: 2123058504

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Andrea Padilla , LCSW

Social Worker - Clinical

NPI 1093260887

Licensed Clinical Social Worker

Alejandra Wilder , SUDRC

Counselor - Addiction (Substance Use Disorder)

NPI 1104539675
NPI 1326450867

Doctor of Dental Surgery

NPI 1396846036

Doctor of Dental Surgery

NPI 1447749494

Doctor of Medicine (M.D.)

NPI 1578943858

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
👤
Provider Name / Credentials Updated June 30, 2023

Recorded as AMANDA JI, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2023

Student in an Organized Health Care Education/Training Program

📍
Updated Practice Location December 18, 2020

Registered at 8788 JAMACHA RD, SPRING VALLEY, CA 919774035 (Tel: 6195152555)

📍
Updated Business Mailing Address December 18, 2020

Registered at 823 GATEWAY CENTER WAY, SAN DIEGO, CA 921024541 (Tel: 6195152300)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2020

Pediatrics (License #A169342 in CA)

NPI Profile Active April 08, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 08, 2016

Registered at 3959 BROADWAY, NEW YORK, NY 100321559 (Tel: 2123058504)

📍
Updated Business Mailing Address April 08, 2016

Registered at 3959 BROADWAY, NEW YORK, NY 100321559

👤
Provider Name / Credentials Updated April 08, 2016

Recorded as AMANDA GONZALEZ, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 08, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750745493
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 08, 2016
Last Update: June 30, 2023
Sole Proprietor: No

Mailing Address

823 Gateway Center Way

San Diego, CA 921024541

Phone: 6195152300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.