AMPLIFY PHYSICIANS OF CALIFORNIA PC
NPI 1124866959
Optometrist in Los Angeles, CA
About Amplify Physicians Of California Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMPLIFY PHYSICIANS OF CALIFORNIA PC (NPI 1124866959) is a healthcare organization registered as an optometrist in Los Angeles, California and active in the NPI registry since July 2024. The organization lists David Bruce Mark, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amplify Physicians Of California Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Amplify Physicians Of California PC, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (17)
Berkeley, CA 94720
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Amplify Physicians Of California PC's NPI number?
The NPI number for Amplify Physicians Of California PC is 1124866959. It was assigned to this organization in the NPPES registry on July 16, 2024.
Where is Amplify Physicians Of California PC located?
Amplify Physicians Of California PC is located at 4403 S Vermont Ave, Los Angeles, CA 90037. The listed phone number is (323) 232-1234.
What is Amplify Physicians Of California PC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Amplify Physicians Of California PC enrolled in Medicare?
Yes. Amplify Physicians Of California PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Amplify Physicians Of California PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 2 Medicare specialties reassign their Medicare billing to Amplify Physicians Of California PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Optometry (16) and Ophthalmology (1). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Amplify Physicians Of California PC accept?
Health plans from BlueCross BlueShield of Tennessee list Amplify Physicians Of California PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Amplify Physicians Of California PC was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Amplify Physicians Of California Pc · NPI 1124866959
Optometrist organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since July 16, 2024.
## Identity
- **NPI:** 1124866959 (Entity type: Organization)
- **Enumerated:** July 16, 2024
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** Yes (part of Amplify Physicians Of California Pc)
- **Authorized official:** David Mark, OWNER
## Practice location
- **Address:** 4403 S VERMONT AVE, Los Angeles, CA 90037-2413
- **Phone:** (323) 232-1234
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 17 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Optometry (16), Ophthalmology (1); 5 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1124866959) · Data from the CMS NPPES public registry.