Rancho Pediatric Associates

Primary specialty

SpecialistTaxonomy code 174400000X

License

G-21832 Issued in CA

Legal business name

RANCHO PEDIATRIC ASSOCIATES

Practice address

7777 Milliken Ave Ste 130
Rancho Cucamonga, CA 91730-6781

Phone

(909) 941-7008

Fax

(909) 481-6855

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Peter David Ambrose, M.D.NPI 1922175041

Title

Pysician

Phone

(909) 941-7008

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter David Ambrose, M.D.

  • Specialist
  • Rancho Cucamonga, CA
  • NPI 1922175041
  NPD (past) Authorized official

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336216407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 MILLIKEN AVE STE 130",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306781",
            "telephone_number": "909-941-7008",
            "fax_number": "909-481-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 MILLIKEN AVE STE 130",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306781",
            "telephone_number": "909-941-7008",
            "fax_number": "909-481-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANCHO PEDIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMBROSE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PYSICIAN",
        "authorized_official_telephone_number": "909-941-7008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G-21832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rancho Foot and Ankle Center Inc
• Rancho Haven Care LLC
• Rancho Haven Care LLC
• Rancho Heart Institute
• Rancho Outpatient Surgical Center, LLC.
• Rancho Physical Therapy, Inc.
• Rancho Primary Care Clinic, a Nursing Professional Corporation
• Rancho Recovery LLC
• Rancho Surgical Institute LLC
• Rancho Urgent Care Phcy

• Specialist in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.