Maria Andruzzi Ambrosini, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95017172 Issued in CA

Practice address

333 Corporate Dr Ste 200
Ladera Ranch, CA 92694-2179

Phone

(949) 347-7200

Fax

(949) 347-7217

NPI assigned

Jan 4, 2018

Last updated

Mar 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: mambrosini140634@direct.novanthealth.org

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1750898441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24422 AVENIDA DE LA CARLOTA STE 300",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533628",
            "telephone_number": "949-599-2423",
            "fax_number": "949-599-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CORPORATE DR STE 200",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926942179",
            "telephone_number": "949-347-7200",
            "fax_number": "949-347-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBROSINI",
        "first_name": "MARIA",
        "middle_name": "ANDRUZZI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-04",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "AMBR-6FP0U6",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95017172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mambrosini140634@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1315 East Blvd Ste 280",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282035793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Azita S. Ebrahimi DDS Inc

• Nurse Practitioner in Ladera Ranch, CA
• Providers in Ladera Ranch, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.