DR. ANA JOSEFINA AMAYA DDS MS
NPI 1720097413
Dentist - Periodontics in Kentfield, CA

Active since August 05, 2006Opted out of Medicare · through Jul 25, 2027
905 SIR FRANCIS DRAKE BLVD, KENTFIELD, CA 94904(415) 457-0343(415) 457-8366 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ana Josefina Amaya Dds Ms NPPES

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

DR. ANA JOSEFINA AMAYA DDS MS (NPI 1720097413) is an individual periodontics provider in Kentfield, California, licensed in California (44563) and active in the NPI registry since August 2006. She has opted out of Medicare through July 25, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1720097413
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameDR. ANA JOSEFINA AMAYACredential: DDS MS
Location Address905 SIR FRANCIS DRAKE BLVDKentfield, CA 94904-1589
Mailing Address905 Sir Francis Drake BlvdKentfield, CA 94904-1589 · (415) 457-0343 · Fax (415) 457-8366
Fax(415) 457-8366
Sole ProprietorNo
Enumeration DateAugust 5, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1720097413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in CA · 44563
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
905 SIR FRANCIS DRAKE BLVD, Kentfield, CA 94904

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Ana Josefina Amaya Dds Ms has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 25, 2017 through July 25, 2027.

Opt-Out Effective DateJuly 25, 2017
Opt-Out In Effect ThroughJuly 25, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94904 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
$104.67 typical visit price
range $69.07 – $202.63
Typical copayment $26.16 (range $17.26 – $50.65)
Most-billed visit code 99203
Established Patient
$85.00 typical visit price
range $23.44 – $166.64
Typical copayment $21.25 (range $5.86 – $41.66)
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 9

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

Psychologist (Clinical)
905 SIR FRANCIS DRAKE BLVD, SUITE F
KENTFIELD, CA 94904
Dentist (Periodontics)
905 SIR FRANCIS DRAKE BLVD
KENTFIELD, CA 94904
Marriage & Family Therapist
905 SIR FRANCIS DRAKE BLVD, SUITE F
KENTFIELD, CA 94904
Marriage & Family Therapist
905 SIR FRANCIS DRAKE BLVD, SUITE D
KENTFIELD, CA 94904
Marriage & Family Therapist
905 SIR FRANCIS DRAKE BLVD, SUITE F
KENTFIELD, CA 94904
Psychologist (Clinical)
905 SIR FRANCIS DRAKE BLVD, SUITE F
KENTFIELD, CA 94904
Counselor (Mental Health)
905 SIR FRANCIS DRAKE BLVD
KENTFIELD, CA 94904
Psychologist (Clinical)
905 SIR FRANCIS DRAKE BLVD, SUITE F
KENTFIELD, CA 94904

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 Ana Amaya's NPI number?

The NPI number for Ana Amaya is 1720097413. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Ana Amaya located?

Ana Amaya practices at 905 Sir Francis Drake Blvd, Kentfield, CA 94904. The listed phone number is (415) 457-0343.

What is Ana Amaya's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Ana Amaya enrolled in Medicare?

No. Ana Amaya has opted out of Medicare through July 25, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Ana Amaya was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.