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DR. AMANDA IRENE JAN MD
NPI 1194036293
Pediatrics - Neonatal-Perinatal Medicine in Santa Monica, CA

Active since June 23, 2010PECOS Enrolled
2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404(310) 829-5511 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 14, 2025, Dec 13, 2021, Mar 25, 2021 (3 updates tracked since 2021).

About Dr. Amanda Irene Jan Md NPPES

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

DR. AMANDA IRENE JAN MD (NPI 1194036293) is an individual neonatal-perinatal medicine provider in Santa Monica, California, licensed in California (A126169) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194036293
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. AMANDA IRENE JANCredential: MD
Location Address2121 SANTA MONICA BLVDSanta Monica, CA 90404-2303
Mailing Address2121 Santa Monica BlvdSanta Monica, CA 90404-2303 · (310) 829-8177
Phone(310) 829-5511
Sole ProprietorNo
Enumeration DateJune 23, 2010
Last NPPES UpdateAugust 14, 20253 updates tracked since enumeration
NPPES CertifiedAugust 14, 2025
✔ NPI 1194036293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses✔ Licensed in CA · A126169✔ Licensed in CA · 126169
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2121 SANTA MONICA BLVD, Santa Monica, CA 90404
Open in Google Maps ↗

Other Names 1

Other Name (5)Dr. Amanda Irene Jan Frost Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Amanda Irene Jan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Jan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
5.9 mi
Health Maintenance Organization
6041 CADILLAC AVE
Los Angeles, CA 90034
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1043242563 (323) 857-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

MINA RIM KANG MD
Hospitalist
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Los Angeles County (310) 453-1324
DELPHINE J. LEE MD PHD INC
Dermatology
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Los Angeles County (310) 449-5265
ROGER JOSEPH MAH CORPORATION
Anesthesiology
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Los Angeles County (310) 829-5511
DR. SEAN DOOLEY M.D.
Internal Medicine (Critical Care Medicine)
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Los Angeles County (323) 829-8745
DANIEL ARTENSTEIN
Student in an Organized Health Care Education/Training Program
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Los Angeles County (310) 582-7137
JAMIE WHISLER DO
Surgery
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Los Angeles County (310) 315-6125
JANAI JOHNSON MS, RDN, CGN
Dietitian, Registered
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Los Angeles County (310) 829-8889
JUDY DANG TRUONG PA
Physician Assistant
2121 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Los Angeles County (310) 829-8265

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 Jan's NPI number?

The NPI number for Amanda Jan is 1194036293. It was assigned to this individual provider in the NPPES registry on June 23, 2010. The provider is also known as Dr. Amanda Irene Jan Frost MD.

Where is Amanda Jan located?

Amanda Jan practices at 2121 Santa Monica Blvd, Santa Monica, CA 90404. The listed phone number is (310) 829-5511.

What is Amanda Jan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Amanda Jan enrolled in Medicare?

Yes. Amanda Jan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Jan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Jan reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). The 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 Amanda Jan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Jan was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.