Individual provider Active NPI

Ambar Solis-Fuentes

  • Physician Assistant
  • Denver, CO
National Provider Identifier
1689488256
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0009034 Issued in CO
Practice address
2101 E 48TH Ave
Denver, CO 80216-2253
Phone
(303) 458-5302
NPI assigned
Feb 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0009034 CO Primary

Addresses

Primary practice location

2101 E 48TH Ave
Denver, CO 80216-2253

Mailing address

1976 S Danube Way
Aurora, CO 80013-7716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250520005001 CO Practitioner - Physician Assistant 7113445388 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0009034COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
La Clinica Tepeyac, Inc CurrentSince Mar 17, 2025 Accepting new patients

Locations

2101 E 48th Ave
Denver, CO 80216
Phone (303) 458-5302

4725 High St
Denver, CO 80216
Phone (720) 274-2923

5075 Lincoln St
Denver, CO 80216
Phone (303) 458-5302

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1689488256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1976 S DANUBE WAY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800137716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 E 48TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802162253",
            "telephone_number": "303-458-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIS-FUENTES",
        "first_name": "AMBAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "0009034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.