AMANDA ANGELINA HIDAJAT PA-C
NPI 1508736471
Physician Assistant in Irvine, CA

Active since November 06, 2025PECOS EnrolledAccepts Medicare Assignment
1000 FIVEPOINT, IRVINE, CA 92618(888) 333-4673 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 9, 2026, Nov 6, 2025 (2 updates tracked since 2025).

About Amanda Angelina Hidajat Pa-c NPPES

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

AMANDA ANGELINA HIDAJAT PA-C (NPI 1508736471) is an individual physician assistant in Irvine, California, licensed in California (67220) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1508736471
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMANDA ANGELINA HIDAJATCredential: PA-C
Location Address1000 FIVEPOINTIrvine, CA 92618-2621
Mailing AddressPo Box 512185Los Angeles, CA 90051-0185
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 6, 2025
Last NPPES UpdateJanuary 9, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2026
NPI 1508736471 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 · 67220
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.
1000 FIVEPOINT, Irvine, CA 92618

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Amanda Angelina Hidajat Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830675305
PECOS Enrollment IDI20260114003539
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92618 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Anesthesiology
1000 FIVEPOINT
IRVINE, CA 92618
Surgery (Surgical Oncology)
1000 FIVEPOINT, BLDG A
IRVINE, CA 92618
Nurse Practitioner (Acute Care)
1000 FIVEPOINT
IRVINE, CA 92618
Physical Medicine & Rehabilitation (Sports Medicine)
1000 FIVEPOINT
IRVINE, CA 92618
Radiology (Vascular & Interventional Radiology)
1000 FIVEPOINT
IRVINE, CA 92618
Internal Medicine (Pulmonary Disease)
1000 FIVEPOINT
IRVINE, CA 92618
Radiology (Diagnostic Radiology)
1000 FIVEPOINT
IRVINE, CA 92618
Internal Medicine (Pulmonary Disease)
1000 FIVEPOINT
IRVINE, CA 92618

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 Hidajat's NPI number?

The NPI number for Amanda Hidajat is 1508736471. It was assigned to this individual provider in the NPPES registry on November 6, 2025.

Where is Amanda Hidajat located?

Amanda Hidajat practices at 1000 Fivepoint, Irvine, CA 92618. The listed phone number is (888) 333-4673.

What is Amanda Hidajat's specialty?

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

Is Amanda Hidajat enrolled in Medicare?

Yes. Amanda Hidajat is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Amanda Hidajat was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.