AMANDA PHARES MD
NPI 1578900585
Surgery - Pediatric Surgery in Sacramento, CA

Q: What is Amanda Phares's NPI number?

The NPI number for Amanda Phares is 1578900585. It was assigned to this individual provider in the NPPES registry on May 30, 2013.

Q: What is Amanda Phares's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Phares was last updated on October 1, 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.

Active since May 30, 2013PECOS Enrolled

2801 K ST STE 220, SACRAMENTO, CA 95816(916) 887-4220 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 1, 2024, Jul 18, 2022 (2 updates tracked since 2022).

On this page

About Amanda Phares Md NPPES

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

AMANDA PHARES MD (NPI 1578900585) is an individual pediatric surgery provider in Sacramento, California, licensed in California (A146286) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578900585

Entity TypeIndividualFemale

Primary Taxonomy2086S0120X

Provider Legal NameAMANDA PHARESCredential: MD

Location Address2801 K ST STE 220Sacramento, CA 95816-5118

Mailing AddressPo Box 255228Sacramento, CA 95865-5228

Phone(916) 887-4220

Sole ProprietorNo

Enumeration DateMay 30, 2013

Last NPPES UpdateOctober 1, 20242 updates tracked since enumeration

NPPES CertifiedOctober 1, 2024

✔ NPI 1578900585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0120X

License✔ Licensed in CA · A146286

Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

2801 K ST STE 220, Sacramento, CA 95816

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Phares 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 Reassignments

Medicare enrollment records show Amanda Phares reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regents Of The Univ Of Ca

Same address

Dermatopathology

3301 C ST STE 1413
Sacramento, CA 95816

Reassigned Medicare billing, California enrollment
2,570 clinicians in this Medicare group

NPI 1043208945 (916) 734-6373

Sutter Valley Medical Foundation

4.0 mi

Multi-Specialty

2700 GATEWAY OAKS DR
Sacramento, CA 95833

Reassigned Medicare billing, California enrollment
3,056 clinicians in this Medicare group

NPI 1952327256 (800) 470-0071

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

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

MELISSA VANOVER MD

Surgery (Pediatric Surgery)

2801 K ST STE 220
SACRAMENTO, CA 95816

Sacramento County (916) 887-4220

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 Phares's NPI number?

The NPI number for Amanda Phares is 1578900585. It was assigned to this individual provider in the NPPES registry on May 30, 2013.

Where is Amanda Phares located?

Amanda Phares practices at 2801 K St Ste 220, Sacramento, CA 95816. The listed phone number is (916) 887-4220.

What is Amanda Phares's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Amanda Phares enrolled in Medicare?

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

Which organizations bill Medicare for Amanda Phares's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Phares reassigns Medicare benefits to 2 organizations: Regents Of The Univ Of Ca (Sacramento, CA) and Sutter Valley Medical Foundation (Sacramento, CA). Each 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 Phares'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 Phares was last updated on October 1, 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.