MEDICARE: DANIEL NICHOLAS AMAYA

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	146N00000X	Basic Emergency Medical Technician	E3421284	OR

General Provider Information

NPI Number	:	1760131940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL NICHOLAS AMAYA

Provider Business Mailing Address
First Line	:	2170 STERLING AVE
Second Line	:
City	:	SANGER
State	:	CA
Zip	:	93657-2036
Country	:	US
Telephone Number	:	559-930-9394
Fax Number	:

Provider Business Practice Location Address
First Line	:	2170 STERLING AVE
Second Line	:
City	:	SANGER
State	:	CA
Zip	:	93657-2036
Country	:	US
Telephone Number	:	559-930-9394
Fax Number	:

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

Provider Enumeration Date	:	03/23/2022
Last Update Date	:	03/23/2022

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Directions to “ DANIEL NICHOLAS AMAYA ” Practice Location

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