IndividualActive
Amanda Pettus, PA-C
NPI 1144692237 · Surgical Physician Assistant · Pasadena, CA
Provider details
- NPI number
- 1144692237
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 53292 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
836 S Arroyo Pkwy
Pasadena, CA 91105-3212
Phone: (650) 773-8498
Approximate (ZIP-level) locationGet directions
Mailing address
20425 Sorrento Ln Apt 101
Porter Ranch, CA 91326-4582
Registry dates
- Enumerated
- 2015-10-28
- Last updated
- 2016-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.