Amy Claire Ellsworth, PA-C,MMS

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA19249 Issued in CA

Practice address

12865 Pointe del Mar Way
Suite #160
Del Mar, CA 92014-3860

Phone

(858) 350-7546

Fax

(858) 350-8282

NPI assigned

Oct 11, 2007

Last updated

Jul 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Amy Claire Guzzo Other name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology and Laser Center of San DiegoGroup PAC ID 5395748669, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

53.94 of 100Reported as group

Quality

0

Improvement activities

40

Cost

79.82

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dermatology & Laser Center of San Diego

  • Dermatology Physician
  • Chula Vista, CA
  • NPI 1457396178
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1174711436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 F ST STE 102",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102666",
            "telephone_number": "619-476-1200",
            "fax_number": "619-429-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12865 POINTE DEL MAR WAY",
            "address_2": "SUITE #160",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920143860",
            "telephone_number": "858-350-7546",
            "fax_number": "858-350-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLSWORTH",
        "first_name": "AMY",
        "middle_name": "CLAIRE",
        "name_prefix": "Mrs.",
        "credential": "PA-C,MMS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA19249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "GUZZO",
            "middle_name": "CLAIRE",
            "prefix": "MRS.",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sue Ann Edwards, M.F.T.
• Frank Joshua Eha, L.AC.
• Rokhsar Eizadi, DDS
• Elizabeth R. Hudler, M.D. Apc
• Don Saul Ellis, MD
• Kathyrn Engel, LCSW
• Robert Engler, M.D.
• Esfahanizadeh Chiropractic Inc
• Sayyedah Fatimah Esfahanizadeh, D.C
• Tanya Ellie Eshel, M.S.

• Medical Physician Assistant in Del Mar, CA
• Providers in Del Mar, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.

Verify at the official NPI Registry.