Individual provider Active NPI

Amiee Rebecca Tabatzky, LAC

  • Spinal Cord Injury Medicine Physician
  • Carlsbad, CA
National Provider Identifier
1871894725
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Spinal Cord Injury Medicine PhysicianTaxonomy code 2081P0004X
License
AC12907 Issued in CA
Practice address
5670 El Camino Real
Ste F
Carlsbad, CA 92008-7125
Phone
(760) 602-0262
Fax
(619) 269-3815
NPI assigned
Nov 9, 2010
Last updated
Nov 9, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Spinal Cord Injury Medicine Physician 2081P0004X AC12907 CA Primary

Addresses

Primary practice location

5670 El Camino Real
Ste F
Carlsbad, CA 92008-7125

Mailing address

4838 Mansfield St
San Diego, CA 92116-1978
Phone (619) 993-0663

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

LicenseStateTypeSpecialty
AC12907CAMDSpinal Cord Injury Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1871894725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4838 MANSFIELD ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921161978",
            "telephone_number": "619-993-0663",
            "fax_number": "619-269-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5670 EL CAMINO REAL",
            "address_2": "STE F",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920087125",
            "telephone_number": "760-602-0262",
            "fax_number": "619-269-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABATZKY",
        "first_name": "AMIEE",
        "middle_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-09",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0004X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": "CA",
            "license": "AC12907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; 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.