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

Amber Ford

Individual provider Community Health Worker · NPI 1114238797

Amber Ford is a Nurse Practitioner in Fortuna, California. Qualified in 2023, 3 years ago. Practices with St Joseph Health Northern California LLC, a 10-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2010
Specialties on file
2

Practice location Address checks out

3302 Renner Dr
Fortuna, CA 95540-7103
Phone: (707) 725-3318
Fax: (707) 725-1998
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95029240 (CA)
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1114238797
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 29, 2010
Last updated in NPPESSeptember 4, 2024
Certification dateSeptember 4, 2024
Mailing address720 Wood St, Eureka, CA 95501-4413

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 St Joseph Health Northern California Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare