Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Pettus, PA-C

Individual provider Surgical Physician Assistant · NPI 1144692237

Amanda Pettus, PA-C is a Physician Assistant in Pasadena, California. Qualified in 2015, 11 years ago. Practices with Advanced Dermatology and Cosmetics Laser Care a Medical Corporation, a 10-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

836 S Arroyo Pkwy
Pasadena, CA 91105-3212
Phone: (650) 773-8498
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 53292 (CA)

Record details

NPI number1144692237
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 28, 2015
Last updated in NPPESMarch 19, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Advanced Dermatology And Cosmetics Laser Care A Medical Corporation — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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