Marvin Ambriz, MD
Individual provider Active NPI Family Medicine Physician · Los Angeles, CA
NPI 1124648845 · NPPES record last updated Feb 7, 2025
Key facts
- NPI
- 1124648845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- A185334 (CA)
- Practice address
- 5850 S Main St
Los Angeles, CA 90003-1215 - Phone
- (323) 897-6000
- NPI assigned
- Apr 22, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of California, Geffen School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- County of Los Angeles
Practice addresses (Care Compare)
5850 S Main St
Los Angeles, CA 90003-1215
Phone (323) 897-6000
Hospital & facility affiliations
- Lac/Harbor-UCLA Med Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250831000401 | CA | Practitioner - Family Practice | 7214438233 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A185334 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Los Angeles | Current |
Accepting new patients | |
| County of Los Angeles | Current |
Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients |
Locations
1000 S Fremont Ave
Unit 9
Alhambra, CA 91803
5850 S Main St
Los Angeles, CA 90003
Phone (323) 846-4312
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A185334 | CA | Yes |
Addresses
Primary practice location
5850 S Main St
Los Angeles, CA 90003-1215
Mailing address
5850 S Main St
Los Angeles, CA 90003-1215
Phone (323) 897-6000
Other practice location 1
1403 Lomita Blvd Ste 200
Harbor City, CA 90710-2086
Phone (310) 602-2550
Other providers in Los Angeles, CA
- Orfanelli Ambriz Ibarra
- Yerald Ambriz Vega
- Carolina Ambriz
- Karla Ambriz
- Lorena Prisma Ambriz
- Agnes Ambrocio
- Jamie Ambros
- Ambrose Hills Wellness PC
- Arrowyn Ambrose
- Corey Ian Ambrose
All providers in Los Angeles, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.