MEDICARE: AMANDA RACHAEL CHESSER MSN-PMHNP, BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	95035065	CA

General Provider Information

NPI Number	:	1215823125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA RACHAEL CHESSER MSN-PMHNP, BC

Provider Business Mailing Address
First Line	:	15555 HUNTINGTON VILLAGE LN APT 248
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92647-3065
Country	:	US
Telephone Number	:	916-306-0199
Fax Number	:

Provider Business Practice Location Address
First Line	:	15555 HUNTINGTON VILLAGE LN APT 248
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92647-3065
Country	:	US
Telephone Number	:	916-306-0199
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2025
Last Update Date	:	02/18/2026

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