AMANDA MARIE ILAG AGNP
NPI 1114745783
Nurse Practitioner - Primary Care in Berkeley, CA
NPI Status: Active since October 01, 2024
Contact Information
1901 4TH ST STE 201
BERKELEY, CA
ZIP 94710
Phone: (510) 929-1400
Fax: (510) 929-1414
- Individual
- Female
- Nurse Practitioner
- Primary Care
About AMANDA ILAG
This page provides the complete NPI Profile along with additional information for Amanda Ilag, a provider established in Berkeley, California with a medical specialization in Nurse Practitioner, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1114745783 assigned on October 2024. The practitioner's primary taxonomy code is 363LP2300X with license number 95032119 (CA). The provider is registered as an individual and her NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization.
- NPI
- 1114745783
- Provider Name
- AMANDA MARIE ILAG AGNP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1901 4TH ST STE 201 BERKELEY, CA 94710
- Location Phone
- (510) 929-1400
- Location Fax
- (510) 929-1414
- Mailing Address
- PO BOX 511250 LOS ANGELES, CA 90051
- Mailing Phone
- (510) 929-1400
- Mailing Fax
- (510) 929-1414
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-01-2024
- Last Update Date
- 01-16-2025
- Code Navigator
A nurse practitioner (NP) like Amanda Ilag is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Primary Care
- Taxonomy Code
- 363LP2300X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 95032119
- License State
- CA
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 1 | 4 | 7 | 4 | 5 | 7 | 8 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 14 | 4 | 10 | 7 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 1 + 4 + 4 + 1 + 0 + 7 + 1 + 6 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1114745783 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1124482823 | DR. MICHAEL DAVID GENUALDI M.D. Individual | Internal Medicine (Geriatric Medicine) | 1901 4TH ST STE 201 BERKELEY, CA 94710 (510) 929-1400 |
| 1316692841 | BRITTANY MICHELE DEMONT NP Individual | Nurse Practitioner (Family) | 1901 4TH ST STE 201 BERKELEY, CA 94710 (510) 929-1400 |
| 1851690622 | PAYAM PARVINCHIHA M.D. Individual | Internal Medicine | 1901 4TH ST STE 201 BERKELEY, CA 94710 (510) 929-1400 |
| 1154130946 | MARGOT SCHMIDT DNP Individual | Nurse Practitioner (Gerontology) | 1901 4TH ST STE 201 BERKELEY, CA 94710 (510) 929-1400 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114745783, enumerated in the NPI registry as an "individual" on October 01, 2024
The provider is located at 1901 4th St Ste 201 Berkeley, Ca 94710 and the phone number is (510) 929-1400
The provider's speciality is Nurse Practitioner with taxonomy code 363LP2300X with a focus in Primary Care
This NPI record was last updated on October 01, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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