NPIMap

Organization Active NPI

Amp Sports Med Inc.

  • Chiropractor
  • San Juan Capistrano, CA
National Provider Identifier
1306413323
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
AMP SPORTS MED INC.
Practice address
32701 Calle Perfecto
San Juan Capistrano, CA 92675-4779
Phone
(949) 481-1499
NPI assigned
Jun 8, 2021
Last updated
Jun 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Authorized official

Name
Jacinto M Flores-Alvarez, DCNPI 1063786416
Title
Owner
Phone
(949) 264-6440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

32701 Calle Perfecto
San Juan Capistrano, CA 92675-4779

Mailing address

32701 Calle Perfecto
San Juan Capistrano, CA 92675-4779
Phone (949) 481-1499

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL WWW.AMPPSORTSMED.COM Direct
CONNECT URL WWW.AMPPSORTSMED.COM

National Provider Directory

National Provider Directory
Tax ID family
Amp Sports Med Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1306413323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32701 CALLE PERFECTO",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926754779",
            "telephone_number": "949-481-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32701 CALLE PERFECTO",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926754779",
            "telephone_number": "949-481-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMP SPORTS MED INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "FLORES-ALVAREZ",
        "authorized_official_first_name": "JACINTO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-264-6440",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.AMPPSORTSMED.COM",
            "affiliation": "N",
            "endpointDescription": "INSURANCE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "32701 Calle Perfecto",
            "city": "San Juan Capistrano",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926754779",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.AMPPSORTSMED.COM",
            "affiliation": "N",
            "address_1": "32701 Calle Perfecto",
            "city": "San Juan Capistrano",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926754779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.