DR. SUDHA AMATYA M.D.
NPI 1790830511
Pediatrics in San Diego, CA

Active since January 24, 2007PECOS Enrolled
5454 EL CAJON BLVD, SAN DIEGO, CA 92115(619) 515-2400 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 22, 2023, Mar 17, 2018, Dec 8, 2017 and 2 more (5 updates tracked since 2017).

About Dr. Sudha Amatya M.d. NPPES

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

DR. SUDHA AMATYA M.D. (NPI 1790830511) is an individual pediatrics provider in San Diego, California, licensed in California (A51563) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790830511
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SUDHA AMATYACredential: M.D.
Location Address5454 EL CAJON BLVDSan Diego, CA 92115-3621
Mailing Address823 Gateway Center WaySan Diego, CA 92102 · (619) 515-2300 · Fax (619) 906-4564
Sole ProprietorNo
Enumeration DateJanuary 24, 2007
Last NPPES UpdateAugust 22, 20235 updates tracked since enumeration
NPPES CertifiedAugust 22, 2023
NPI 1790830511 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 · A51563
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 ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X · License 35087784 (OH)
5454 EL CAJON BLVD, San Diego, CA 92115

Other Names 1

Other Name (5)Sudha Shrestha Amatya

Other Identifiers 1

Medicaid2657987OH

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Sudha Amatya 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92115 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.

Family Medicine
5454 EL CAJON BLVD
SAN DIEGO, CA 92115
Student in an Organized Health Care Education/Training Program
5454 EL CAJON BLVD
SAN DIEGO, CA 92115
Marriage & Family Therapist
5454 EL CAJON BLVD
SAN DIEGO, CA 92115
Student in an Organized Health Care Education/Training Program
5454 EL CAJON BLVD
SAN DIEGO, CA 92115
Clinic/Center (Federally Qualified Health Center (FQHC))
5454 EL CAJON BLVD
SAN DIEGO, CA 92115
Student in an Organized Health Care Education/Training Program
5454 EL CAJON BLVD
SAN DIEGO, CA 92115
Social Worker (Clinical)
5454 EL CAJON BLVD
SAN DIEGO, CA 92115
Family Medicine
5454 EL CAJON BLVD
SAN DIEGO, CA 92115

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 Sudha Amatya's NPI number?

The NPI number for Sudha Amatya is 1790830511. It was assigned to this individual provider in the NPPES registry on January 24, 2007. The provider is also known as Sudha Shrestha Amatya.

Where is Sudha Amatya located?

Sudha Amatya practices at 5454 El Cajon Blvd, San Diego, CA 92115. The listed phone number is (619) 515-2400.

What is Sudha Amatya's specialty?

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

Is Sudha Amatya enrolled in Medicare?

Yes. Sudha Amatya is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sudha Amatya was last updated on August 22, 2023. 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.