Active NPI
Amy Indrizzo, M.T.
- Specialist
- Porter Ranch, CA
National Provider Identifier
1770717522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 11200 Corbin Ave
Suite 200
Porter Ranch, CA 91326-4120 - Phone
- (818) 831-8000
- Fax
- (818) 831-8005
- NPI assigned
- May 7, 2009
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
11200 Corbin Ave
Suite 200
Porter Ranch, CA 91326-4120
Mailing address
11200 Corbin Ave
Suite 200
Porter Ranch, CA 91326-4120
Phone (818) 831-8000
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
- Credentials
- Medical Technician
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Porter Ranch Medical Center | Past | Accepting new patients |
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.
-
- Contractor
- Porter Ranch, CA
- NPI 1184731960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241654400000",
"number": "1770717522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11200 CORBIN AVE",
"address_2": "SUITE 200",
"city": "PORTER RANCH",
"state": "CA",
"postal_code": "913264120",
"telephone_number": "818-831-8000",
"fax_number": "818-831-8005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11200 CORBIN AVE",
"address_2": "SUITE 200",
"city": "PORTER RANCH",
"state": "CA",
"postal_code": "913264120",
"telephone_number": "818-831-8000",
"fax_number": "818-831-8005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INDRIZZO",
"first_name": "AMY",
"credential": "M.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-07",
"last_updated": "2009-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Porter Ranch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.