AMETHYST ENTSUAH
NPI 1053858779
Nurse Practitioner in Victorville, CA

Active since January 20, 2017
15403 PARK AVE E, VICTORVILLE, CA 92392(714) 633-6373 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 29, 2023, Jan 20, 2017 (2 updates tracked since 2017).

About Amethyst Entsuah NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMETHYST ENTSUAH (NPI 1053858779) is an individual nurse practitioner in Victorville, California, licensed in California (95024030) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1053858779
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAMETHYST ENTSUAH
Location Address15403 PARK AVE EVictorville, CA 92392-2482
Mailing Address801 E Katella AveAnaheim, CA 92805-6614 · (714) 633-6373
Sole ProprietorNo
Enumeration DateJanuary 20, 2017
Last NPPES UpdateMarch 29, 20232 updates tracked since enumeration
NPPES CertifiedMarch 29, 2023
NPI 1053858779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CA · 95024030
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 95052687 (CA)
15403 PARK AVE E, Victorville, CA 92392

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
15403 PARK AVE E
VICTORVILLE, CA 92392
Advanced Practice Midwife
15403 PARK AVE E
VICTORVILLE, CA 92392
Clinic/Center
15403 PARK AVE E
VICTORVILLE, CA 92392
Family Medicine
15403 PARK AVE E
VICTORVILLE, CA 92392
Nurse Practitioner (Family)
15403 PARK AVE E
VICTORVILLE, CA 92392
Physician Assistant
15403 PARK AVE E
VICTORVILLE, CA 92392
Advanced Practice Midwife
15403 PARK AVE E
VICTORVILLE, CA 92392

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amethyst Entsuah's NPI number?

The NPI number for Amethyst Entsuah is 1053858779. It was assigned to this individual provider in the NPPES registry on January 20, 2017.

Where is Amethyst Entsuah located?

Amethyst Entsuah practices at 15403 Park Ave E, Victorville, CA 92392. The listed phone number is (714) 633-6373.

What is Amethyst Entsuah's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Amethyst Entsuah was last updated on March 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.