AMANDA ROA FNP-BC
NPI 1063225621
Nurse Practitioner - Family in Fallbrook, CA

Q: What is Amanda Roa's NPI number?

The NPI number for Amanda Roa is 1063225621. It was assigned to this individual provider in the NPPES registry on January 28, 2025.

Q: What is Amanda Roa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Roa was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 28, 2025

2248 MIL SORPRESAS DR, FALLBROOK, CA 92028(909) 534-1615 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Amanda Roa Fnp-bc NPPES

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

AMANDA ROA FNP-BC (NPI 1063225621) is an individual family provider in Fallbrook, California, licensed in California (95031782) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1063225621

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMANDA ROACredential: FNP-BC

Location Address2248 MIL SORPRESAS DRFallbrook, CA 92028-1833

Mailing Address2248 Mil Sorpresas DrFallbrook, CA 92028-1833 · (909) 534-1615

Phone(909) 534-1615

Sole ProprietorYes

Enumeration DateJanuary 28, 2025

NPPES CertifiedJanuary 28, 2025

✔ NPI 1063225621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95031782

2248 MIL SORPRESAS DR, Fallbrook, CA 92028

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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 Amanda Roa's NPI number?

The NPI number for Amanda Roa is 1063225621. It was assigned to this individual provider in the NPPES registry on January 28, 2025.

Where is Amanda Roa located?

Amanda Roa practices at 2248 Mil Sorpresas Dr, Fallbrook, CA 92028. The listed phone number is (909) 534-1615.

What is Amanda Roa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Amanda Roa was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.