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

Amit Date, MD, MBA

Individual provider Otolaryngology Physician · NPI 1831311984

Amit Date, MD, MBA is an Otolaryngology in San Diego, California. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2005, 21 years ago. Practices with North County Ear Nose and Throat Head and Neck Surgey Inc, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Illinois.

Years since qualifying
21
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
CA, IL
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MBA — Master of Business Administration
A graduate business degree.

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Practice location Address checks out

5405 Oberlin Dr Fl 2
San Diego, CA 92121-1700
Phone: (858) 909-0770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3101 Fields South Dr, Champaign, IL 61822-3743 — (217) 366-1243

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence C177918 (CA)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 125-049364 (IL)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 036126212 (IL)

Record details

NPI number1831311984
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MBA
Sole proprietorNo
NPI enumeratedMay 2, 2007
Last updated in NPPESMay 27, 2022
Certification dateMay 27, 2022

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2005 (21 years in practice)
Group practice North County Ear Nose And Throat Head And Neck Surgey Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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