Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Guevara

Individual provider Physician Assistant · NPI 1174357255

Amanda Guevara is a Physician Assistant in Fountain Valley, California. Qualified in 2024, 2 years ago. Practices with Memorialcare Medical Foundation, a 562-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2024
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Practice location Address checks out

18111 Brookhurst St Ste 6100
Fountain Valley, CA 92708-6728
Phone: (657) 241-9755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA65055 (CA)

Record details

NPI number1174357255
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 29, 2024
Last updated in NPPESDecember 29, 2025
Certification dateDecember 29, 2025
Mailing address18111 Brookhurst St Ste 6100, Fountain Valley, CA 92708-6728

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Memorialcare Medical Foundation — 562 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fountain Valley