Active NPI
Amanda Carrie Ajmal, M.A.
- Marriage & Family Therapist
- Pomona, CA
National Provider Identifier
1225228539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 47092
- Practice address
- 160 E Holt Ave
B
Pomona, CA 91767-5406 - Phone
- (909) 620-2521
- NPI assigned
- Aug 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 47092 | CA | Primary |
Addresses
Primary practice location
160 E Holt Ave
B
Pomona, CA 91767-5406
Mailing address
11088 Vernon Ave
Ontario, CA 91762-6126
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47092 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431993600000",
"number": "1225228539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11088 VERNON AVE",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917626126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 E HOLT AVE",
"address_2": "B",
"city": "POMONA",
"state": "CA",
"postal_code": "917675406",
"telephone_number": "909-620-2521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AJMAL",
"first_name": "AMANDA",
"middle_name": "CARRIE",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-01",
"last_updated": "2015-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "47092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.