Active NPI
Mary Tuthill Ambler, LCSW
- Clinical Social Worker
- Oxnard, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW16930
- Practice address
- 221 Ventura Blvd # 126
Oxnard, CA 93036-0277 - Phone
- (805) 436-3444
- Fax
- (805) 485-4160
- NPI assigned
- Apr 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW16930 | CA | Primary |
Addresses
Primary practice location
221 Ventura Blvd # 126
Oxnard, CA 93036-0277
Mailing address
1040 Flynn Rd
Camarillo, CA 93012-5092
Phone (805) 673-3930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100312000314 | CA | Practitioner - Clinical Social Worker | 6305971680 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Clinicas del Camino Real Inc
Practice addresses (Care Compare)
200 S Wells Rd
Suite 150
Ventura, CA 93004-1302
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW16930 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinicas del Camino Real, Inc | Current | Accepting new patients | |
| Clinicas del Camino Real Inc | Current | Accepting new patients | |
| Clinicas del Camino Real Inc | Current | Accepting new patients | |
| Clinicas del Camino Real Inc | Past | Accepting new patients | |
| Clinicas del Camino Real Inc | Past | Accepting new patients |
Locations
355 Central Ave
Fillmore, CA 93015
Phone (805) 524-4926
1200 Maricopa Hwy
Ojai, CA 93023
Phone (805) 640-8293
650 Meta St
Oxnard, CA 93030
Phone (805) 487-5351
500 E Main St
Santa Paula, CA 93060
Phone (805) 933-0895
200 S Wells Rd
Ste 100
Ventura, CA 93004
Phone (805) 647-6322
Interoperability endpoints
- mary.ambler.p1@direct.clinicas.nextgenshare.com
Organizations & group practices 16
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community Health Clinic/Center
- Oxnard, CA
- NPI 1235866138
-
- Federally Qualified Health Center (FQHC)
- Simi Valley, CA
- NPI 1609291996
-
- Federally Qualified Health Center (FQHC)
- Camarillo, CA
- NPI 1295297190
-
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1942789359
-
- Federally Qualified Health Center (FQHC)
- Santa Paula, CA
- NPI 1023234465
-
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1093933194
-
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1134369366
-
- Federally Qualified Health Center (FQHC)
- Ojai, CA
- NPI 1316163736
-
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1396961884
-
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1427276278
-
- Federally Qualified Health Center (FQHC)
- Oxnard, CA
- NPI 1518183904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596672000000",
"number": "1154548899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 FLYNN RD",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930125092",
"telephone_number": "805-673-3930",
"fax_number": "805-659-3217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 VENTURA BLVD # 126",
"city": "OXNARD",
"state": "CA",
"postal_code": "930360277",
"telephone_number": "805-436-3444",
"fax_number": "805-485-4160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMBLER",
"first_name": "MARY",
"middle_name": "TUTHILL",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2020-08-06",
"certification_date": "2020-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW16930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.