Individual provider Active NPI

Bayley Ambrose

  • Massage Therapist
  • Buena Park, CA
National Provider Identifier
1184327124
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
89252 Issued in CA
Practice address
8362 Artesia Blvd Ste C
Buena Park, CA 90621-4177
Phone
(714) 381-1777
NPI assigned
Mar 27, 2023
Last updated
Mar 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 89252 CA Primary

Addresses

Primary practice location

8362 Artesia Blvd Ste C
Buena Park, CA 90621-4177

Mailing address

8362 Artesia Blvd Ste C
Buena Park, CA 90621-4177
Phone (714) 381-1777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
89252CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sang DO Lee Chiropractic CurrentSince Apr 6, 2023 Accepting new patients

Locations

8362 Artesia Blvd
Ste C
Buena Park, CA 90621
Phone (714) 381-1777

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1184327124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8362 ARTESIA BLVD STE C",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906214177",
            "telephone_number": "714-381-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8362 ARTESIA BLVD STE C",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906214177",
            "telephone_number": "714-381-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBROSE",
        "first_name": "BAYLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "89252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.