Healthcare Provider Details

I. General information

NPI: 1447135058
Provider Name (Legal Business Name): AMARA FICCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2025
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3960 WALNUT DR
EUREKA CA
95503-8938
US

IV. Provider business mailing address

PO BOX 494100
REDDING CA
96049-4100
US

V. Phone/Fax

Practice location:
  • Phone: 707-268-8722
  • Fax:
Mailing address:
  • Phone: 530-245-5805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: