Individual provider Active NPI

Maria Teresa Ampudia, PA-C

  • Medical Physician Assistant
  • Anaheim, CA
National Provider Identifier
1407022163
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA15438 Issued in CA
Practice address
1801 W Romneya Drive Suite 203
Anaheim, CA 92801
Phone
(714) 999-1465
Fax
(714) 999-1701
NPI assigned
May 2, 2008
Last updated
Feb 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA15438 CA Primary

Addresses

Primary practice location

1801 W Romneya Drive Suite 203
Anaheim, CA 92801

Mailing address

1801 W Romneya Drive Suite 203
Anaheim, CA 92801
Phone (714) 999-1465

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141110000209 CA Practitioner - Physician Assistant 9032015896 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles Hematology-Oncology Medical Group CurrentSince Jan 15, 2025 Accepting new patients
Los Angeles Hematology-Oncology Medical Group CurrentSince Jan 15, 2025 Accepting new patients
Los Angeles Cardiology Associates Past Accepting new patients
Nutan K Parikh MD LTD Apc Past Accepting new patients

Locations

1211 W La Palma Ave
Ste 103
Anaheim, CA 92801
Phone (714) 535-3660

1801 W Romneya Dr
Ste 203
Anaheim, CA 92801
Phone (714) 999-1465

260 E Ontario Ave
Ste 101
Corona, CA 92879
Phone (951) 268-7746

1505 Wilson Ter
Ste 200
Glendale, CA 91206
Phone (818) 243-0477

1245 Wilshire Blvd
Ste 303
Los Angeles, CA 90017
Phone (213) 977-1214

15211 Vanowen St
Ste 201
Van Nuys, CA 91405
Phone (818) 574-3798

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1407022163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W ROMNEYA DRIVE SUITE 203",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92801",
            "telephone_number": "714-999-1465",
            "fax_number": "714-999-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W ROMNEYA DRIVE SUITE 203",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92801",
            "telephone_number": "714-999-1465",
            "fax_number": "714-999-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMPUDIA",
        "first_name": "MARIA",
        "middle_name": "TERESA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-02",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA15438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.