AMANDA VY-LYN FERGUSON PA
NPI 1114586112
Physician Assistant in Los Angeles, CA

Active since June 12, 2019
814 FRANCISCO ST, LOS ANGELES, CA 90017(909) 576-9050 Get Directions Write a Review

NPPES record last updated: June 12, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amanda Vy-lyn Ferguson Pa NPPES

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

AMANDA VY-LYN FERGUSON PA (NPI 1114586112) is an individual physician assistant in Los Angeles, California, licensed in California (PA56863) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1114586112
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMANDA VY-LYN FERGUSONCredential: PA
Location Address814 FRANCISCO STLos Angeles, CA 90017-2530
Mailing Address1620 N Roosevelt AvePasadena, CA 91104-1926 · (909) 576-9050
Sole ProprietorNo
Enumeration DateJune 12, 2019
NPI 1114586112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA56863
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
814 FRANCISCO ST, Los Angeles, CA 90017

Other Providers at the Same Location NPPES 5

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

Clinic/Center (Urgent Care)
814 FRANCISCO ST
LOS ANGELES, CA 90017
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
814 FRANCISCO ST
LOS ANGELES, CA 90017
Nurse Practitioner (Family)
814 FRANCISCO ST
LOS ANGELES, CA 90017
Clinic/Center (Occupational Medicine)
814 FRANCISCO ST
LOS ANGELES, CA 90017
Physician Assistant
814 FRANCISCO ST
LOS ANGELES, CA 90017

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 Ferguson's NPI number?

The NPI number for Amanda Ferguson is 1114586112. It was assigned to this individual provider in the NPPES registry on June 12, 2019.

Where is Amanda Ferguson located?

Amanda Ferguson practices at 814 Francisco St, Los Angeles, CA 90017. The listed phone number is (909) 576-9050.

What is Amanda Ferguson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Amanda Ferguson was last updated on June 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.