Active NPI
Joseph R. Ambrose, DC
- Nurse Practitioner
- El Dorado Hills, CA
National Provider Identifier
1194940809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP95013795
- Practice address
- 350 Green Valley Rd
El Dorado Hills, CA 95762-3765 - Phone
- (916) 933-6700
- NPI assigned
- Apr 16, 2007
- Last updated
- Feb 10, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP95013795 | CA | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | NP95013795 | CA | |
| Family Nurse Practitioner | 363LF0000X | NP95013795 | CA | |
| Primary Care Nurse Practitioner | 363LP2300X | NP95013795 | CA | |
| Occupational Health Nurse Practitioner | 363LX0106X | NP95013795 | CA | |
| Chiropractor | 111N00000X | DC18301 | CA | |
| Neurology Chiropractor | 111NN0400X | DC18301 | CA | |
| Nutrition Chiropractor | 111NN1001X | DC18301 | CA | |
| Sports Physician Chiropractor | 111NS0005X | DC18301 | CA | |
| Occupational Health Chiropractor | 111NX0100X | DC18301 | CA | |
| Orthopedic Chiropractor | 111NX0800X | DC18301 | CA | |
| Rehabilitation Chiropractor | 111NR0400X | DC18301 | CA | |
| Independent Medical Examiner Chiropractor | 111NI0013X | DC18301 | CA |
Addresses
Primary practice location
350 Green Valley Rd
El Dorado Hills, CA 95762-3765
Mailing address
350 Green Valley Rd
El Dorado Hills, CA 95762-3927
Phone (916) 933-6700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
350 Green Valley Rd
El Dorado Hills, CA 95762-3927
Phone (916) 933-6700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC18301 | CA | MD | Independent Medical Examiner Chiropractor |
| 18301 | CA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ambrose Chiropractic Inc. | Neurology | Current | Accepting new patients |
| Ambrose Injury and Wellness, a Nursing Corp | Family | Current | Accepting new patients |
Locations
350 Green Valley Rd
El Dorado Hills, CA 95762
Phone 91643923533927
Organizations & group practices 2
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.
-
- Neurology Chiropractor
- El Dorado Hills, CA
- NPI 1013357821
-
- Primary Care Nurse Practitioner
- El Dorado Hills, CA
- NPI 1538759543
Family
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581292800000",
"number": "1194940809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 GREEN VALLEY RD",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957623927",
"telephone_number": "916-933-6700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 GREEN VALLEY RD",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957623765",
"telephone_number": "916-933-6700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMBROSE",
"first_name": "JOSEPH",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2020-02-10",
"certification_date": "2020-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP95013795",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "NP95013795",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP95013795",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CA",
"license": "NP95013795",
"primary": false
},
{
"code": "363LX0106X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Occupational Health",
"state": "CA",
"license": "NP95013795",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC18301",
"primary": false
},
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "CA",
"license": "DC18301",
"primary": false
},
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "CA",
"license": "DC18301",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CA",
"license": "DC18301",
"primary": false
},
{
"code": "111NX0100X",
"taxonomy_group": "",
"desc": "Chiropractor, Occupational Health",
"state": "CA",
"license": "DC18301",
"primary": false
},
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "CA",
"license": "DC18301",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "CA",
"license": "DC18301",
"primary": false
},
{
"code": "111NI0013X",
"taxonomy_group": "",
"desc": "Chiropractor, Independent Medical Examiner",
"state": "CA",
"license": "DC18301",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Dorado Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.