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

Amanda Mae Vergel de Dios

Individual provider Community Health Worker · NPI 1679069058

Amanda Mae Vergel de Dios is a Nurse Practitioner in Santa Rosa, California. Qualified in 2023, 3 years ago. Practices with Santa Rosa Community Health Centers, a 71-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

1300 N Dutton Ave
Santa Rosa, CA 95401-7112
Phone: (707) 396-5151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95025863 (CA)
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1679069058
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 9, 2018
Last updated in NPPESJuly 31, 2023
Certification dateJuly 31, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Santa Rosa Community Health Centers — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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