Individual provider Active NPI

Ambica Garg, M. D.

  • Obstetrics & Gynecology Physician
  • Santa Ana, CA
National Provider Identifier
1265700975
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A117019 Issued in CA
Practice address
999 N Tustin Ave Ste 111
Santa Ana, CA 92705-6501
Phone
(714) 953-1112
Fax
(714) 547-5792
NPI assigned
Dec 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A117019 CA Primary

Addresses

Primary practice location

999 N Tustin Ave Ste 111
Santa Ana, CA 92705-6501

Mailing address

999 N Tustin Ave Ste 111
Santa Ana, CA 92705-6501
Phone (714) 953-1112

Other names 1

  • Ambica Prasad Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120508000518 CA Practitioner - Obstetrics/Gynecology 9537321567 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg California PCGroup PAC ID 8729276795, 94 clinicians

Practice addresses (Care Compare)

800 S Main St
Corona, CA 92882-3420
Phone (864) 908-3530

999 N Tustin Ave
Suite 111
Santa Ana, CA 92705-6501
Phone (714) 953-1112

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A117019CAMDObstetrics & Gynecology Physician

Practice roles (4 of 5)

OrganizationSpecialtyStatusNew patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince Aug 6, 2023 Accepting new patients
Abha Gupta M D a Professional Corporation Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients

Locations

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

28062 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1265700975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 N TUSTIN AVE STE 111",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056501",
            "telephone_number": "714-953-1112",
            "fax_number": "714-547-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 N TUSTIN AVE STE 111",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056501",
            "telephone_number": "714-953-1112",
            "fax_number": "714-547-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARG",
        "first_name": "AMBICA",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-08",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A117019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBICA",
            "last_name": "PRASAD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.