Amanda Marie Ilag, AGNP
Primary Care Nurse Practitioner · Berkeley, CA
Amanda Marie Ilag, AGNP is a primary care nurse practitioner with a practice address in Berkeley, California, and NPI 1114745783, issued on Oct 1, 2024. Check the license (California 95032119, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Amanda Marie Ilag
- Credential
- AGNP
- Primary taxonomy
- Primary Care Nurse Practitioner 363LP2300X
- License number
- 95032119 CA
Self-reported in NPPES; status is on the state search - Practice location
- 1901 4TH St Ste 201, Berkeley, CA 94710
- Phone
- (510) 929-1400
- Enumerated
- Oct 1, 2024
- Record last updated
- Jan 16, 2025
- Fax
- (510) 929-1414
- Medicare enrollment
- Enrolled (PECOS I20250128000862); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
Also registered at 1901 4TH St Ste 201
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Mallory DawsonGerontology Nurse Practitioner1770444309
- Brittany Demont, NPFamily Nurse Practitioner1316692841
- Ann Ebiner, FNPNurse Practitioner1316264112
- Michael Genualdi, M.D.Geriatric Medicine (Internal Medicine) Physician1124482823
- Payam Parvinchiha, M.D.Internal Medicine Physician1851690622
- Margot Schmidt, DNPGerontology Nurse Practitioner1154130946
Verify Amanda Marie Ilag in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license 95032119Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Pine Park Health, IncBerkeley, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Primary Care Nurse Practitioner providers in California
There are 1,131 primary care nurse practitioner records in California.
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Common questions
What is Amanda Marie Ilag, AGNP's NPI number?
Amanda Marie Ilag, AGNP's National Provider Identifier (NPI) is 1114745783, issued on Oct 1, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Amanda Marie Ilag, AGNP located?
The NPPES record lists a practice address at 1901 4TH St Ste 201, Berkeley, CA, 94710. Phone: (510) 929-1400. Providers update this record themselves, so call before visiting.
How can I verify Amanda Marie Ilag, AGNP's license?
NPPES lists California license number 95032119, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.