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

Amanda Nicole Polanco, FNP

Individual provider Family Nurse Practitioner · NPI 1235902735

Amanda Nicole Polanco, FNP is a Nurse Practitioner in Victorville, California. Qualified in 2023, 3 years ago. Practices with Desert Valley Medical Group Inc, a 79-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

16850 Bear Valley Rd
Victorville, CA 92395-5794
Phone: (760) 241-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95024607 (CA)

Record details

NPI number1235902735
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedNovember 6, 2023
Last updated in NPPESNovember 6, 2023
Certification dateNovember 6, 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 Desert Valley Medical Group Inc — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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