NPIMap

Individual provider Active NPI

Ashley M Zervic, PA-C

  • Physician Assistant
  • Murrieta, CA
National Provider Identifier
1003249111
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA23149 Issued in CA
Practice address
41880 Kalmia St Ste 100
Murrieta, CA 92562-8835
Phone
(951) 397-4226
Fax
(951) 461-6973
NPI assigned
Aug 12, 2013
Last updated
May 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA23149 CA Primary

Addresses

Primary practice location

41880 Kalmia St Ste 100
Murrieta, CA 92562-8835

Mailing address

PO Box 3046
Malvern, PA 19355-0746
Phone (951) 397-4226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160329001308 CA Practitioner - Physician Assistant 2567769078 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Urgent Care NetworkGroup PAC ID 7315284130, 15 clinicians

Practice addresses (Care Compare)

29821 Antelope Rd
Suite 102
Menifee, CA 92584-8860
Phone (951) 550-5080

31571 Canyon Estates Dr
Suite 100
Lake Elsinore, CA 92532-0471
Phone (951) 397-4214

41880 Kalmia St
Suite 100
Murrieta, CA 92562-8835
Phone (951) 397-4226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA23149CAMDPhysician Assistant
23149CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network CurrentSince Feb 9, 2016 Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Nov 17, 2019 Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Health Centers of San Diego Inc CurrentSince Nov 17, 2019 Accepting new patients
Family Healthcare Network CurrentSince Feb 9, 2016 Accepting new patients
A Plus Walk in Urgent Care Past Accepting new patients

Locations

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

263 S West St
Tulare, CA 93274
Phone (855) 207-0542

305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792

400 E Oak Ave
Visalia, CA 93291
Phone (559) 741-4500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCECCA

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1003249111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3046",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193550746",
            "telephone_number": "951-397-4226",
            "fax_number": "951-461-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41880 KALMIA ST STE 100",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925628835",
            "telephone_number": "951-397-4226",
            "fax_number": "951-461-6973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZERVIC",
        "first_name": "ASHLEY",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-12",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA23149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.