Individual provider Active NPI

Michael Patrick Ambrose, MSED

  • Audiologist
  • Oakland Park, FL
National Provider Identifier
1538199526
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY1037 Issued in FL
Practice address
1005A E Commercial Blvd
Oakland Park, FL 33334-3956
Phone
(954) 493-6411
Fax
(954) 493-9078
NPI assigned
Jul 4, 2006
Last updated
May 2, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY1037 FL Primary

Addresses

Primary practice location

1005A E Commercial Blvd
Oakland Park, FL 33334-3956

Mailing address

1005A E Commercial Blvd
Oakland Park, FL 33334-3956
Phone (954) 493-6411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070702000638 CA Practitioner - Qualified Audiologist 0749380863 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AY1037FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearx West, LLC CurrentSince May 10, 2022 Accepting new patients
Hearusa Inc Past Accepting new patients
Audiology Distribution, LLC PastSince Jun 28, 2017 Accepting new patients
Hearx West Inc PastSince May 10, 2022 Accepting new patients

Locations

7040 Avenida Encinas
Ste 103
Carlsbad, CA 92011
Phone (760) 405-8275

8066 La Mesa Blvd
#68
La Mesa, CA 91942

8066 La Mesa Blvd
Ste 68
La Mesa, CA 91942

27520 Ynez Rd
Ste D5
Temecula, CA 92591
Phone (951) 200-3120

1611 S Melrose Dr
Ste F
Vista, CA 92081
Phone (760) 597-0050

Dept 3316
Carol Stream, IL 60132

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1538199526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005A E COMMERCIAL BLVD",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333343956",
            "telephone_number": "954-493-6411",
            "fax_number": "954-493-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005A E COMMERCIAL BLVD",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333343956",
            "telephone_number": "954-493-6411",
            "fax_number": "954-493-9078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBROSE",
        "first_name": "MICHAEL",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "MSED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.

Verify at the official NPI Registry.