Active NPI
Ricardo Amaya, DPT
- Neurology Physical Therapist
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physical Therapist
- License
- 3935
- Practice address
- 505 Elm St NE
Albuquerque, NM 87102-2500 - Phone
- (505) 727-4700
- NPI assigned
- Jun 27, 2011
- Last updated
- Oct 23, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT37189 | CA | |
| Neurology Physical Therapist | 2251N0400X | 3935 | NM | Primary |
Addresses
Primary practice location
505 Elm St NE
Albuquerque, NM 87102-2500
Mailing address
505 Elm St NE
Albuquerque, NM 87102-2500
Phone (505) 727-4700
Other practice location 1
251 Landis Ave
Chula Vista, CA 91910-2628
Phone (619) 515-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3935 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37189 | CA | MD | Chiropractor |
| PT37189 | CA | MD | Physical Therapist |
| 3935 | NM | MD | Neurology Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Centers of San Diego Inc | Current | Accepting new patients | |
| Family Health Centers of San Diego Inc | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients |
Locations
251 Landis Ave
Chula Vista, CA 91910
Phone (619) 515-2500
1809 National Ave
San Diego, CA 92113
Phone (619) 515-2500
5454 El Cajon Blvd
San Diego, CA 92115
Phone (619) 515-2381
823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323
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.
-
dba Logan Heights Family Health Center
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1447281936
-
dba Rice Family Health Center
- Federally Qualified Health Center (FQHC)
- Chula Vista, CA
- NPI 1083959464
-
dba Beach Area Family Health Center Annex
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1184982159
-
dba Escondido Physical Health and Wellness
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1356178180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1437445566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 ELM ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022500",
"telephone_number": "505-727-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 ELM ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871022500",
"telephone_number": "505-727-4700"
}
],
"practiceLocations": [
{
"address_1": "251 Landis Ave",
"address_purpose": "LOCATION",
"city": "Chula Vista",
"state": "CA",
"postal_code": "919102628",
"country_code": "US",
"telephone_number": "619-515-2500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMAYA",
"first_name": "RICARDO",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-27",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT37189",
"primary": false
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "NM",
"license": "3935",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3935",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.