Active NPI
John Albert Ambrosino, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Concord, CA
National Provider Identifier
1659462273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E002827
- Practice address
- 2485 High School Ave
Suite #123-East
Concord, CA 94520-1819 - Phone
- (925) 827-9966
- Fax
- (925) 827-2416
- NPI assigned
- Sep 27, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E002827 | CA | Primary |
Addresses
Primary practice location
2485 High School Ave
Suite #123-East
Concord, CA 94520-1819
Mailing address
2485 High School Ave
Suite #123-East
Concord, CA 94520-1819
Phone (925) 827-9966
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061211000420 | CA | Practitioner - Podiatry | 0143229633 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E002827 | CA | MD | Foot & Ankle Surgery Podiatrist |
| 2827 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John a. Ambrosino, D.P.M., Inc. | Current | Accepting new patients |
Locations
2281 East St
Concord, CA 94520
Phone (925) 676-1955
Interoperability endpoints
- johndambrosinodpminc.johnambrosino@131797.advancedmd-direct.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Podiatrist
- Concord, CA
- NPI 1720220064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659462273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2485 HIGH SCHOOL AVE",
"address_2": "SUITE #123-EAST",
"city": "CONCORD",
"state": "CA",
"postal_code": "945201819",
"telephone_number": "925-827-9966",
"fax_number": "925-827-2416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2485 HIGH SCHOOL AVE",
"address_2": "SUITE #123-EAST",
"city": "CONCORD",
"state": "CA",
"postal_code": "945201819",
"telephone_number": "925-827-9966",
"fax_number": "925-827-2416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMBROSINO",
"first_name": "JOHN",
"middle_name": "ALBERT",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E002827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, CA
- Cristyn Diana Amaral, OTD
- Jadiana Samadhi Amarista
- Yaretzie Mariel Amaya
- Courtney Schram Ambilollu
- Curtisha Faith Ambrister
- American Current Care of California, a Medical Corporation (Concentra Urgent Care)
- American Medical Response West (American Medical Response)
- Dylan Amerson
- Savannah Reann Amerson
- Patrick Amigable, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.