Ambach Ma, P.C.
Organization Active NPI Physical Medicine & Rehabilitation Physician · Encinitas, CA
NPI 1194570259 · NPPES record last updated Nov 12, 2024
Key facts
- NPI
- 1194570259
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- Legal business name
- AMBACH MA, P.C.
- Practice address
- 285 N El Camino Real Ste 110
Encinitas, CA 92024-5384 - Phone
- (858) 225-1922
- Fax
- (858) 327-9656
- NPI assigned
- Apr 22, 2024
- Organization subpart
- No
Authorized official
- Name
- Mary Ambach, MD
- Title
- Owner
- Phone
- (239) 410-8441
Practitioners 1
-
Mary Antoniette Ambach, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240612004385 | CA | Part B Supplier - Clinic/Group Practice | 1759823107 |
Receives reassigned benefits from 1 practitioner Practice locations: Encinitas, CA |
National Provider Directory
Locations
5451 Avenida Encinas
Ste B124
Carlsbad, CA 92008
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician |
208100000X | Yes |
Addresses
Primary practice location
285 N El Camino Real Ste 110
Encinitas, CA 92024-5384
Mailing address
285 N El Camino Real Ste 110
Encinitas, CA 92024-5384
Phone (858) 225-1922
Other names
- Bioevolve San Diego Orthobiologics and Sports Center
Other providers in Encinitas, CA
- Alvera Podiatry Group, a.P.C
- Ama Mama - Birth, Babies & Beyond
- Amad E Kadry, M.D.
- Amanda Abramson Lloyd MD Inc
- Kelleen Amaro
- Mary Antoniette Ambach
- American Care Medical Transportation
- American Drug Stores Inc
- American Orthopeadics & Sports Medicine Medical Group
- Amy Chiou Aminlari
All providers in Encinitas, CA · Physical Medicine & Rehabilitation 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 Nov 12, 2024. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.