NPIMap

Organization Active NPI

Amp Sports Med Inc.

  • Chiropractor
  • Redlands, CA
National Provider Identifier
1629645643
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
AMP SPORTS MED INC.
Practice address
1380 Industrial Park Ave
Redlands, CA 92374-2897
Phone
(949) 264-6440
NPI assigned
Jun 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Authorized official

Name
Jacinto M Flores-Alvarez, DCNPI 1063786416
Title
Owner
Phone
(949) 264-6440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1380 Industrial Park Ave
Redlands, CA 92374-2897

Mailing address

1380 Industrial Park Ave
Redlands, CA 92374-2897
Phone (949) 264-6440

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.ampsportsmeed.com

National Provider Directory

National Provider Directory
Tax ID family
Amp Sports Med Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1380 Industrial Park Ave
Redlands, CA 92374
Phone (949) 264-6440

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1629645643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 INDUSTRIAL PARK AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742897",
            "telephone_number": "949-264-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 INDUSTRIAL PARK AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742897",
            "telephone_number": "949-264-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMP SPORTS MED INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "FLORES-ALVAREZ",
        "authorized_official_first_name": "JACINTO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-264-6440",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.ampsportsmeed.com",
            "affiliation": "N",
            "address_1": "1380 Industrial Park Ave",
            "city": "Redlands",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923742897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.