Ambasht Family Medicine, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

AMBASHT FAMILY MEDICINE, LLC

Practice address

3300 Providence Dr Ste 114
Anchorage, AK 99508-4619

Phone

(907) 770-6200

NPI assigned

Oct 8, 2021

Organization subpart

No

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

Authorized official

Name

Ankita Ambasht, M.D.NPI 1730684747

Title

Owner

Phone

(240) 328-4545

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Ankita Mahesh Ambasht, MD

  • Family Medicine Physician
  • Anchorage, AK
  • NPI 1730684747
  NPD Authorized official
• Harbir Singh Makin, M.D.

  • Internal Medicine Physician
  • Anchorage, AK
  • NPI 1265404396
  NPD (past)

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633824000000",
    "number": "1902568751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 PROVIDENCE DR STE 114",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 PROVIDENCE DR STE 114",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084619",
            "telephone_number": "907-770-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBASHT FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-10",
        "certification_date": "2021-10-10",
        "status": "A",
        "authorized_official_last_name": "AMBASHT",
        "authorized_official_first_name": "ANKITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-328-4545",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amb Physical Therapy
• Ankita Mahesh Ambasht, MD
• Jennifer Amberg
• Laken Jean Amberg, LMT
• Connie Ambler, LPC
• Clifford Ambro, LMT

• All providers in Anchorage, AK
• Primary Care Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.