Ambridge Chiropractic Corp

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

19037 Issued in CA

Legal business name

AMBRIDGE CHIROPRACTIC CORP

Doing business as

Santa Rosa Chiropractic Neurology Center

Practice address

990 Sonoma Ave Ste 18
Santa Rosa, CA 95404-4813

Phone

(707) 575-9009

Fax

(707) 575-4267

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Forest Blake Ambridge

Title

Owner

Phone

(707) 575-9009

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Santa Rosa Chiropractic Neurology Center Doing business as

Locations

Practitioners 1

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

• Paul Joseph Roberts, R.PH., M.S.

  • Nutrition Education Nutritionist
  • Santa Rosa, CA
  • NPI 1689602658
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1629008370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 MENDOCINO AVE",
            "address_2": "#300",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032276",
            "telephone_number": "707-575-9009",
            "fax_number": "707-575-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 SONOMA AVE STE 18",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044813",
            "telephone_number": "707-575-9009",
            "fax_number": "707-575-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBRIDGE CHIROPRACTIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "AMBRIDGE",
        "authorized_official_first_name": "FOREST",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-575-9009"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "CA",
            "license": "19037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER",
            "identifier": "ZZZ04893Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Rosa Chiropractic Neurology Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Santa Rosa Chiropractic Neurology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grace Eleanor Amarali, RN
• Sabrina Aldama Amato, MPH
• Susan Chinn Amaturo, M.D.
• Amber M. Nierode, DDS, Inc. (Santa Rosa Pediatric Dentistry)
• David Amber
• Lillian Marie Ambrose
• Rose M Ambrosino-Cook, RN., MS., CNS., CNP.
• Gianna Marie Ambrosio
• Amedco California Inc (Optical World Inc)
• American Current Care of California, a Medical Corporation (Concentra Urgent Care)

• Neurology Chiropractor in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Neurology Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.