Edgar Amezquita

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

11905 S Central Ave
Suite Number 204-205
Los Angeles, CA 90059-2897

Phone

(323) 249-9026

Fax

(323) 249-8367

NPI assigned

Nov 30, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1194027938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11905 S CENTRAL AVE",
            "address_2": "SUITE NUMBER 204-205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900592897",
            "telephone_number": "323-249-9026",
            "fax_number": "323-249-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11905 S CENTRAL AVE",
            "address_2": "SUITE NUMBER 204-205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900592897",
            "telephone_number": "323-249-9026",
            "fax_number": "323-249-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMEZQUITA",
        "first_name": "EDGAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-30",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephany Alexandra Amezcua
• Tammy Amezola
• Valeria M Amezola, BSN
• Samantha Marie Amezquita-Guerrero
• Christina Amezquita
• Maria Amezquita
• Amg Care Figueroa LLC
• Amgi LLC
• Amh Comprehensive Medical Centers
• Dennis Ace De Guzman Ami, LVN

• Addiction (Substance Use Disorder) Counselor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.