Individual provider Active NPI

Amarilda Amy Christensen, M.D.

  • Occupational Medicine Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1649476565
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
A114322 Issued in CA
Practice address
10837 Laurel St Ste 206
Rancho Cucamonga, CA 91730-7644
Phone
(909) 297-5070
Fax
(909) 297-5270
NPI assigned
Jun 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X A114322 CA
Occupational Medicine Physician 2083X0100X A114322 CA Primary

Addresses

Primary practice location

10837 Laurel St Ste 206
Rancho Cucamonga, CA 91730-7644

Mailing address

10837 Laurel St Ste 206
Rancho Cucamonga, CA 91730-7644
Phone (909) 297-5070

Other practice location 1

67555 E Palm Canyon Dr Ste C113
Cathedral City, CA 92234-5412
Phone (760) 328-5679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: amarilda.christensen@3081.securemail.prognocis.com

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1649476565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10837 LAUREL ST STE 206",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307644",
            "telephone_number": "909-297-5070",
            "fax_number": "909-297-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10837 LAUREL ST STE 206",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307644",
            "telephone_number": "909-297-5070",
            "fax_number": "909-297-5270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67555 E Palm Canyon Dr Ste C113",
            "address_purpose": "LOCATION",
            "city": "Cathedral City",
            "state": "CA",
            "postal_code": "922345412",
            "country_code": "US",
            "telephone_number": "760-328-5679",
            "fax_number": "760-328-6497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "AMARILDA",
        "middle_name": "AMY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "CA",
            "license": "A114322",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "A114322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.