MEDICARE: AMY M. NETT M.D.

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	208D00000X	General Practice Physician	A104984	CA

General Provider Information

NPI Number	:	1225224116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY M. NETT M.D.

Provider Business Mailing Address
First Line	:	5510 BASELINE AVE
Second Line	:
City	:	SANTA YNEZ
State	:	CA
Zip	:	93460-9347
Country	:	US
Telephone Number	:	650-387-2572
Fax Number	:

Provider Business Practice Location Address
First Line	:	2948 SAN MARCOS AVE STE 204
Second Line	:
City	:	LOS OLIVOS
State	:	CA
Zip	:	93441-4563
Country	:	US
Telephone Number	:	805-364-4782
Fax Number	:	805-876-9052

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

Provider Enumeration Date	:	09/24/2007
Last Update Date	:	10/29/2024

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