Individual provider Active NPI

Ashley E. Mires, M.D.

  • Hospitalist Physician
  • Anaheim, CA
National Provider Identifier
1003916792
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A88444 Issued in CA
Practice address
1211 W la Palma Ave
#207
Anaheim, CA 92801-2815
Phone
(714) 772-8282
Fax
(714) 772-6493
NPI assigned
Sep 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A88444 CA
Hospitalist Physician 208M00000X A88444 CA Primary

Addresses

Primary practice location

1211 W la Palma Ave
#207
Anaheim, CA 92801-2815

Mailing address

2040 S Santa Cruz St
Suite 215
Anaheim, CA 92805-6821
Phone (714) 577-2124

Other identifiers 2

IdentifierTypeStateIssuer
00A884440MedicaidCA
P00387158OtherCAMEDICARE RR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050722000873 CA Practitioner - Internal Medicine 4082641865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chest and Critical Care Consultants a Medical GroupGroup PAC ID 7911987961, 71 clinicians

Practice addresses (Care Compare)

13522 Newport Ave
Suite 102
Tustin, CA 92780-3707
Phone (714) 573-8200

Hospital & facility affiliations

  • Essence Hospice Hospice, Irvine, CA, CCN A01770
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348
  • Anaheim Global Medical Center Hospital, Anaheim, CA, CCN 050744
  • Ahmc Anaheim Regional Medical Center Hospital, Anaheim, CA, CCN 050226
  • Orange County Global Medical Center Hospital, Santa Ana, CA, CCN 050746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A88444CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chest and Critical Care Consultants a Medical Group Internal Medicine CurrentSince Jul 1, 2005 Accepting new patients
Chest and Critical Care Consultants Internal Medicine CurrentSince Jul 1, 2005 Accepting new patients
Essence Home Care LLC Family Medicine Past Accepting new patients

Locations

1211 W La Palma Ave
Ste 207
Anaheim, CA 92801
Phone (714) 772-8282

1211 W La Palma Ave
Ste 404
Anaheim, CA 92801
Phone (714) 772-1030

999 N Tustin Ave
Ste 1
Santa Ana, CA 92705
Phone (714) 836-6800

13522 Newport Ave
Ste 102
Tustin, CA 92780
Phone (714) 573-8200

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Essence HospiceIrvine, CA, CCN A01770 Hospice Operational/Managerial Control (100%) Apr 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1003916792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 S SANTA CRUZ ST",
            "address_2": "SUITE 215",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928056821",
            "telephone_number": "714-577-2124",
            "fax_number": "714-577-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 W LA PALMA AVE",
            "address_2": "#207",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012815",
            "telephone_number": "714-772-8282",
            "fax_number": "714-772-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRES",
        "first_name": "ASHLEY",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A88444",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A88444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A884440",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00387158",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.