Individual provider Active NPI

Amber Beth Moryl, MS, MPAS, PA-C

  • Physician Assistant
  • Chino, CA
National Provider Identifier
1467880229
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA23272 Issued in CA
Practice address
5253 Riverside Dr
Chino, CA 91710-4151
Phone
(909) 464-2845
NPI assigned
Oct 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA23272 CA Primary

Addresses

Primary practice location

5253 Riverside Dr
Chino, CA 91710-4151

Mailing address

5253 Riverside Dr
Chino, CA 91710-4151
Phone (909) 464-2845

Other names 1

  • Miss Amber Beth Ries Former name

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
I20140529002411 CA Practitioner - Physician Assistant 6608099114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sotara Manalo Rico Professional Medical CorporationGroup PAC ID 1658644182, 2 clinicians

Practice addresses (Care Compare)

5253 Riverside Dr
Chino, CA 91710-4151
Phone (909) 464-2845

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA23272CAMDPhysician Assistant

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGFABA/Endpoint/HGFABA

Organizations & group practices 1

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1467880229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5253 RIVERSIDE DR",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104151",
            "telephone_number": "909-464-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5253 RIVERSIDE DR",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104151",
            "telephone_number": "909-464-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORYL",
        "first_name": "AMBER",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "MS, MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-14",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA23272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "RIES",
            "middle_name": "BETH",
            "prefix": "MISS",
            "credential": "MS, MPAS, PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chino, CA

Sources for this page

Verify at the official NPI Registry.