MARY ANTONIETTE AMBACH


Address: 6125 Paseo Del Norte Ste 100, Carlsbad, CA 92011
Phone: 7609092355

MARY ANTONIETTE AMBACH (NPI# 1083769566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083769566
Entity Type Individual
Full Name MARY ANTONIETTE AMBACH
Credential M.D.
Practice Address 6125 Paseo Del Norte Ste 100
Carlsbad
CA 92011
Mailing Address 6125 Paseo Del Norte Ste 100
Carlsbad
CA 92011-1113
Practice Telephone 7609092355
Practice Fax Number 7604485363
Mailing Telephone 7609092355
Mailing Fax Number 7604485363
Enumeration Date 2007-01-24
Last Update Date 2019-04-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
A108622 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL BCBS 00231 01
FL CIGNA 1083769566 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
6125 Paseo Del Norte Ste 100, Carlsbad, CA 92011 7609092355 7604485363

Office Location

Street Address 6125 PASEO DEL NORTE STE 100
City CARLSBAD
State CA
Zip Code 92011

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205896370 Christopher J Rogers Physical Medicine & Rehabilitation 6125 Paseo Del Norte Ste 100, Carlsbad, CA 92011-1113 2006-03-24
1255850293 Center for Optimal Movement Physical Therapist 6125 Paseo Del Norte Ste 100, Carlsbad, CA 92011-1113 2017-09-11
1336406966 Min Kyun Kim Acupuncturist 6125 Paseo Del Norte Ste 100, Carlsbad, CA 92011-1113 2012-04-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134691488 Anne Meyers French Nurse Practitioner 6735 Palermi Place, Carlsbad, CA 92011 2018-12-27
1457876401 Danika Enid Miranda Behavioral Analyst 2441 Palomar Airport Road #350, Carlsbad, CA 92011 2017-08-11
1902299472 Jessica Tn Truong Dentist 520 Stern Way, Carlsbad, CA 92011 2015-03-09
1902140734 Hygeia II Medical Group, Inc. Durable Medical Equipment & Medical Supplies 6241 Yarrow Dr, Suite A, Carlsbad, CA 92011 2012-11-16
1063522548 Dawn Anderson Physical Therapist 6070 Avenida Encinas, Carlsbad, CA 92011 2006-08-30
1962512566 Costco Wholesale Corporation Pharmacy 951 Palomar Airport Rd, Carlsbad, CA 92011 2006-08-30
1003860537 North County Neurology Associates Medical Group Psychiatry & Neurology 6010 Hidden Valley Rd Ste 200, Carlsbad, CA 92011 2006-05-20
1932176898 Garrett J Tallman Orthopaedic Surgery 6125 Paseo Del Norte Ste 110, Carlsbad, CA 92011 2006-02-28
1821096157 Paul Eric Dicesare Orthopaedic Surgery 1544 Weatherly Road, Carlsbad, CA 92011 2005-07-11
1699277897 Priscilla Marie San Vicente Technician, Other 2141 Palomar Airport Rd Ste 350, Carlsbad, CA 92011 2018-03-03
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Taxonomy Information

Taxonomy Code 2081P2900X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Pain Medicine

Taxonomy Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205896370 Christopher J Rogers Physical Medicine & Rehabilitation 6125 Paseo Del Norte Ste 100, Carlsbad, CA 92011-1113 2006-03-24
1174063218 Xcell Sports and Regenerative Medicine Inc Physical Medicine & Rehabilitation 6125 Paseo Del Norte, Suite 100, Carlsbad, CA 92011-1112 2017-03-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1881295608 San Diego Comprehensive Pain Management Center, Inc Physical Medicine & Rehabilitation 1575 W Main St, El Centro, CA 92243-2211 2020-11-06
1760013536 Aveva Medical Aesthetics Inc. Physical Medicine & Rehabilitation 4702 W 1st St Ste C, Santa Ana, CA 92703-3100 2020-01-30
1902445620 Irina L Melnik, Md Professional Corporation Physical Medicine & Rehabilitation 655 Redwood Hwy Frontage Rd Ste 203, Mill Valley, CA 94941-3025 2019-12-27
1124669544 Algos Inc., A Medical Corporation Physical Medicine & Rehabilitation 26357 Mcbean Pkwy Ste 210, Santa Clarita, CA 91355-4497 2019-10-07
1174084578 Lags Spine and Sportscare Medical Centers, Inc. Physical Medicine & Rehabilitation 802 Iowa Ave, Los Banos, CA 93635-3450 2019-03-28
1083175483 Lags Spine and Sportscare Medical Centers, Inc. Physical Medicine & Rehabilitation 777 S Ham Ln Ste G, Lodi, CA 95242-3593 2019-03-28
1679031611 Jesus H. Lao Md Inc Physical Medicine & Rehabilitation 6699 Alvarado Rd Ste 2304, San Diego, CA 92120-5241 2019-03-08
1316404262 Advanced Pain Diagnostic & Solutions, Inc. Physical Medicine & Rehabilitation 1921 Sycamore Ln, Davis, CA 95616-0844 2019-02-27
1689157059 Lags Spine and Sportscare Medical Centers, Inc. Physical Medicine & Rehabilitation 801 E Chapel St Ste 6, Santa Maria, CA 93454-4607 2018-09-12
1588147094 Lags Spine and Sportscare Medical Centers, Inc. Physical Medicine & Rehabilitation 803 Coffee Rd Ste 11, Modesto, CA 95355-4244 2018-09-11
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Competitor

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City CARLSBAD
Zip Code 92011

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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