1. Home
  2. Directory
  3. California
  4. West Covina
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

DR. AMANDA O'LOUGHLIN DO
NPI 1649849225
Student in an Organized Health Care Education/Training Program in West Covina, CA

Active since June 18, 2021PECOS EnrolledAccepts Medicare Assignment
1115 S SUNSET AVE, WEST COVINA, CA 91790(626) 813-7837 Get Directions Write a Review

NPPES record last updated: June 18, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Amanda O'loughlin Do NPPES

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

DR. AMANDA O'LOUGHLIN DO (NPI 1649849225) is an individual student in an organized health care education/training program in West Covina, California and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1649849225
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. AMANDA O'LOUGHLINCredential: DO
Location Address1115 S SUNSET AVEWest Covina, CA 91790-3940
Mailing Address952 Viewpoint StUpland, CA 91784-8034 · (775) 223-7982
Phone(626) 813-7837
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 18, 2021
NPPES CertifiedJune 18, 2021
✔ NPI 1649849225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1115 S SUNSET AVE, West Covina, CA 91790
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Amanda O'loughlin Do 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 ID547791303
PECOS Enrollment IDI20241003001756
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

2

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

Barton Healthcare System
347 mi
Emergency Medicine
1111 SIERRA AT TAHOE RD
Twin Bridges, CA 95735
  • Reassigned Medicare billing, California enrollment
  • 126 clinicians in this Medicare group
NPI 1114033529 (530) 659-7434
Barton Medical Foundation
353 mi
Family Medicine
2170 SOUTH AVE
South Lake Tahoe, CA 96150
  • Reassigned Medicare billing, California enrollment
  • 148 clinicians in this Medicare group
NPI 1750950499 (530) 541-3420

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.

MRS. CLAIRE MARIE TABARES FNP-C
Nurse Practitioner
1115 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 814-2547
MRS. SHANNON RIVERA PA-C
Physician Assistant
1115 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 962-4011
CATHARINE IRENE JORDAN REGISTERED NURSE
Registered Nurse (Emergency)
1115 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 814-2534
IVY KRISTINA ENVERGA PHARMD
Pharmacist
1115 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 814-2412
MICHELLE INGA
Registered Nurse (Emergency)
1115 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 962-4011
LAUREN CAROL O'NEAL PA-C
Physician Assistant
1115 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 962-4011
TREVOR-TRUNG NGUYEN
Student in an Organized Health Care Education/Training Program
1115 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 962-4011
DR. DAVID J MICHELSON M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1115 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 962-4011

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 O'loughlin's NPI number?

The NPI number for Amanda O'loughlin is 1649849225. It was assigned to this individual provider in the NPPES registry on June 18, 2021.

Where is Amanda O'loughlin located?

Amanda O'loughlin practices at 1115 S Sunset Ave, West Covina, CA 91790. The listed phone number is (626) 813-7837.

What is Amanda O'loughlin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Amanda O'loughlin enrolled in Medicare?

Yes. Amanda O'loughlin 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.

Which organizations bill Medicare for Amanda O'loughlin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda O'loughlin reassigns Medicare benefits to 2 organizations: Barton Healthcare System (Twin Bridges, CA) and Barton Medical Foundation (South Lake Tahoe, 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 O'loughlin'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 O'loughlin was last updated on June 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.