Individual provider Active NPI

Amigzarith J Torres, CST

  • Surgical Technologist
  • Baldwin Park, CA
National Provider Identifier
1326218520
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
License
062428 Issued in CO
Practice address
15326 Nubia St
Baldwin Park, CA 91706-1926
Phone
(626) 337-0776
Fax
(626) 337-0776
NPI assigned
Mar 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Technologist 246ZS0410X 062428 CO Primary

Addresses

Primary practice location

15326 Nubia St
Baldwin Park, CA 91706-1926

Mailing address

15326 Nubia St
Baldwin Park, CA 91706-1926
Phone (626) 337-0776

Other identifiers 2

IdentifierTypeStateIssuer
062428OtherCOAST/ASA(ASSOC- SURGICAL T
1720041OtherCANOTARY PUBLIC

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

LicenseStateTypeSpecialty
062428COMDSurgical Technologist

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1326218520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15326 NUBIA ST",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917061926",
            "telephone_number": "626-337-0776",
            "fax_number": "626-337-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15326 NUBIA ST",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917061926",
            "telephone_number": "626-337-0776",
            "fax_number": "626-337-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "AMIGZARITH",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "CST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "CO",
            "license": "062428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AST/ASA(ASSOC- SURGICAL T",
            "identifier": "062428",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOTARY PUBLIC",
            "identifier": "1720041",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.