Ambrosia Creek, LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

374603695 Issued in CA

Legal business name

AMBROSIA CREEK, LLC

Practice address

3028 Delfina PL
Carlsbad, CA 92009-8208

Phone

(619) 971-8431

NPI assigned

Jul 21, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Julie NorrisNPI 1457704553

Title

Managing Member

Phone

(619) 971-8431

Specialties & licenses 1

Addresses

Other names 1

• Home Residential Care Doing business as

Practitioners 1

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

• Julie Norris

  • Social Worker
  • Carlsbad, CA
  • NPI 1457704553
  NPD (past) Authorized official

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1699128934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3028 DELFINA PL",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920098208",
            "telephone_number": "619-971-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3028 DELFINA PL",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920098208",
            "telephone_number": "619-971-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBROSIA CREEK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "619-971-8431",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "374603695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Residential Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Michiko Alvarez, CMT
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• Am & BB Imaging Center Inc
• Amanda Mercer and Diana DO-Yabut Dental Corporation
• Lilliana Ambrosio Madrigal
• American Current Care of California, a Medical Corporation
• Lara Amin
• Mehrnoosh Amini Moazzam
• Lorene Amos, PPS SCHOOL PSYCH

• Preferred Provider Organization in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.