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

Q: 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.

Q: What is Amanda Jan's specialty?

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

Q: 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 11 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 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: August 02, 2026.

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

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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

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Other Names 1

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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