Active NPI
Ana Berenice Flores Ambriz
- Marriage & Family Therapist
- Goleta, CA
National Provider Identifier
1720394646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 103840
- Practice address
- 7268 Del Norte Dr
Goleta, CA 93117-1327 - Phone
- (805) 280-6651
- NPI assigned
- Aug 30, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 103840 | CA | Primary |
Addresses
Primary practice location
7268 Del Norte Dr
Goleta, CA 93117-1327
Mailing address
7268 Del Norte Dr
Goleta, CA 93117-1327
Phone (805) 280-6651
Other practice location 1
5681 Hollister Ave
Goleta, CA 93117-3488
Phone (805) 964-2347 ext. 109
Other practice location 2
1236 Chapala St
Santa Barbara, CA 93101-3116
Phone (805) 965-2376 ext. 226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720394646 | Medicaid | CA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103840 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614643200000",
"number": "1720394646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7268 DEL NORTE DR",
"city": "GOLETA",
"state": "CA",
"postal_code": "931171327",
"telephone_number": "805-280-6651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7268 DEL NORTE DR",
"city": "GOLETA",
"state": "CA",
"postal_code": "931171327",
"telephone_number": "805-280-6651"
}
],
"practiceLocations": [
{
"address_1": "5681 Hollister Ave",
"address_purpose": "LOCATION",
"city": "Goleta",
"state": "CA",
"postal_code": "931173488",
"country_code": "US",
"telephone_number": "805-964-2347 x109",
"fax_number": "805-964-7079",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1236 Chapala St",
"address_purpose": "LOCATION",
"city": "Santa Barbara",
"state": "CA",
"postal_code": "931013116",
"country_code": "US",
"telephone_number": "805-965-2376 x226",
"fax_number": "805-963-6707",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLORES AMBRIZ",
"first_name": "ANA",
"middle_name": "BERENICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-30",
"last_updated": "2021-03-02",
"certification_date": "2021-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "103840",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1720394646",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Goleta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.