Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Ambrose, PA-C

Individual provider Emergency Medicine Physician · NPI 1780207449

Nicole Ambrose, PA-C is an Emergency Medicine Physician in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1431 Yost Dr
San Diego, CA 92109-1347
Phone: (760) 766-6809
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA59843 (CA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence PA59843 (CA)

Record details

NPI number1780207449
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 28, 2020
Last updated in NPPESDecember 7, 2022
Certification dateDecember 7, 2022

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