Amanda Vy-lyn Ferguson, PA - Physician Assistant in Los Angeles, CA

Amanda Vy-lyn Ferguson, PA is a Physician Assistant based in Los Angeles, California. Amanda Vy-lyn Ferguson is licensed to practice in California (license number PA56863) and her current practice location is 814 Francisco St, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at (909) 576-9050.

NPI number for Amanda Vy-lyn Ferguson is 1114586112 and her current mailing address is 1620 N Roosevelt Ave, Pasadena, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114586112.

Contact Information

Amanda Vy-lyn Ferguson, PA
814 Francisco St,
Los Angeles, CA 90017-2530
(909) 576-9050
Not Available

Map and Direction




Provider's Profile

Full NameAmanda Vy-lyn Ferguson
GenderFemale
SpecialityPhysician Assistant
Location814 Francisco St, Los Angeles, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114586112
  • Provider Enumeration Date: 06/12/2019
  • Last Update Date: 06/12/2019

Medical Identifiers

Medical identifiers for Amanda Vy-lyn Ferguson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114586112NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA56863 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Vy-lyn Ferguson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Amanda Vy-lyn Ferguson, PA
1620 N Roosevelt Ave,
Pasadena, CA 91104-1926

Ph: (909) 576-9050
Amanda Vy-lyn Ferguson, PA
814 Francisco St,
Los Angeles, CA 90017-2530

Ph: (909) 576-9050

Reviews and Comments


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