Organization Active NPI

Scientia Medical Group Inc.

  • Orthopaedic Surgery Physician
  • Agoura Hills, CA
National Provider Identifier
1679995997
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G73590 Issued in CA
Legal business name
SCIENTIA MEDICAL GROUP INC.
Practice address
30401 Agoura Rd
Agoura Hills, CA 91301-2084
Phone
(818) 889-7240
NPI assigned
Jan 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Authorized official

Name
Dr. Francis D'Ambrosio, M.D.
Title
Member
Phone
(310) 346-6020

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X G73590 CA
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X G73590 CA
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X G73590 CA
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X G73590 CA Primary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X G73590 CA
Body Imaging PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085B0100X G73590 CA
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X G73590 CA
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X G73590 CA
Legal Medicine (M.D./D.O.) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 209800000X G73590 CA

Addresses

Primary practice location

30401 Agoura Rd
Agoura Hills, CA 91301-2084

Mailing address

30401 Agoura Rd
Agoura Hills, CA 91301-2084
Phone (818) 889-7240

National Provider Directory

National Provider Directory

Locations

30401 Agoura Rd
Agoura Hills, CA 91301
Phone (818) 889-7240

NPI Registry JSON

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1679995997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30401 AGOURA RD",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012084",
            "telephone_number": "818-889-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30401 AGOURA RD",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012084",
            "telephone_number": "818-889-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCIENTIA MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "D'AMBROSIO",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "310-346-6020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G73590",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G73590",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G73590",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G73590",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G73590",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Body Imaging",
            "state": "CA",
            "license": "G73590",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G73590",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "G73590",
            "primary": false
        },
        {
            "code": "209800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "G73590",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.