AMANDA ROSE JI M.D.
NPI 1750745493
Pediatrics in Spring Valley, CA

Q: What is Amanda Ji's NPI number?

The NPI number for Amanda Ji is 1750745493. It was assigned to this individual provider in the NPPES registry on April 8, 2016. The provider is also known as Amanda Rose Gonzalez MD.

Q: What is Amanda Ji's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Ji was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 April 08, 2016PECOS Enrolled

8788 JAMACHA RD, SPRING VALLEY, CA 91977(619) 515-2555(619) 462-5584 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Amanda Rose Ji M.d. NPPES

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

AMANDA ROSE JI M.D. (NPI 1750745493) is an individual pediatrics provider in Spring Valley, California, licensed in California (A169342) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1750745493

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameAMANDA ROSE JICredential: M.D.

Location Address8788 JAMACHA RDSpring Valley, CA 91977-4035

Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541 · (619) 515-2300 · Fax (619) 269-0678

Phone(619) 515-2555

Fax(619) 462-5584

Sole ProprietorNo

Enumeration DateApril 8, 2016

Last NPPES UpdateJune 30, 2023

NPPES CertifiedJune 30, 2023

✔ NPI 1750745493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A169342

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

8788 JAMACHA RD, Spring Valley, CA 91977

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Other Names 1

Former Name (1)Amanda Rose Gonzalez Md

Secondary Practice Location 1

Location 13959 BroadwayNew York, NY 10032-1559 · Phone (212) 305-8504

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Rose Ji M.d. 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 Ji reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Health Centers Of San Diego, Inc

Same address

Federally Qualified Health Center (FQHC)

8788 JAMACHA RD
Spring Valley, CA 91977

Reassigned Medicare billing, California enrollment
1,100 clinicians in this Medicare group

NPI 1508801069 (619) 515-2555

Sharp Rees-Stealy Medical Group, Inc

13 mi

Internal Medicine

5651 COPLEY DR STE A
San Diego, CA 92111

Reassigned Medicare billing, California enrollment
1,233 clinicians in this Medicare group

NPI 1285616177 (858) 262-6666

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91977 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

Most-billed visit code 99214

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.

CAROLYN SYLVIA QUINTERO MD

Pediatrics