Active NPI
Janette Ambriz Court
- Community Health Worker
- San Bernardino, CA
National Provider Identifier
1952013906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 1887 Business Center Dr Ste 3a
San Bernardino, CA 92408-3445 - Phone
- (909) 381-3002
- NPI assigned
- Dec 21, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
1887 Business Center Dr Ste 3a
San Bernardino, CA 92408-3445
Mailing address
1887 Business Center Dr Ste 3a
San Bernardino, CA 92408-3445
Phone (909) 381-3002
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.sahabainitiative.org | Health Information Exchange (HIE) |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sahaba Initiative | Current | Accepting new patients |
Locations
1887 Business Center Dr
Ste 3A
San Bernardino, CA 92408
Phone (909) 381-3002
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.
-
- Early Intervention Provider Agency
- San Bernardino, CA
- NPI 1861194672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671580800000",
"number": "1952013906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1887 BUSINESS CENTER DR STE 3A",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083445",
"telephone_number": "909-381-3002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1887 BUSINESS CENTER DR STE 3A",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083445",
"telephone_number": "909-381-3002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COURT",
"first_name": "JANETTE",
"middle_name": "AMBRIZ",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-21",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.sahabainitiative.org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Sahaba Initiative",
"address_1": "1887 Business Center Dr Ste 3A",
"city": "San Bernardino",
"state": "CA",
"country_code": "US",
"postal_code": "924083445",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.