Active NPI
Rina Ambaram, DDS
- Dentist
- North Highlands, CA
National Provider Identifier
1295733038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 52012
- Practice address
- 6015 Watt Ave
North Highlands, CA 95660-4294 - Phone
- (916) 679-3925
- Fax
- (916) 679-3925
- NPI assigned
- Jul 13, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 52012 | CA | Primary |
Addresses
Primary practice location
6015 Watt Ave
North Highlands, CA 95660-4294
Mailing address
6015 Watt Ave
North Highlands, CA 95660-4294
Phone (916) 679-3925
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52012 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429228800000",
"number": "1295733038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6015 WATT AVE",
"city": "NORTH HIGHLANDS",
"state": "CA",
"postal_code": "956604294",
"telephone_number": "916-679-3925",
"fax_number": "916-679-3928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6015 WATT AVE",
"city": "NORTH HIGHLANDS",
"state": "CA",
"postal_code": "956604294",
"telephone_number": "916-679-3925",
"fax_number": "916-679-3925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMBARAM",
"first_name": "RINA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-13",
"last_updated": "2015-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "52012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Highlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.