Individual provider Active NPI

Ashley Salin, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Northridge, CA
National Provider Identifier
1063937449
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
18345 Sandringham CT
Northridge, CA 91326-2043
Phone
(818) 522-9807
NPI assigned
Aug 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10444481-1206 UT
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

18345 Sandringham CT
Northridge, CA 91326-2043

Mailing address

18345 Sandringham CT
Northridge, CA 91326-2043

Other practice location 1

555 West SR 164
Salem, UT 84653-8465
Phone (801) 465-4896

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, AR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180110002861 UT Practitioner - Physician Assistant 4688933005 Reassigns benefits to 3 organizations
I20240203000086 AR Practitioner - Physician Assistant 4688933005 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Apr 2, 2018 Accepting new patients
Ihc Health Services Inc CurrentSince Apr 2, 2018 Accepting new patients
Utah Valley Radiology Associates Inc PastSince May 1, 2008 Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1063937449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18345 SANDRINGHAM CT",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913262043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18345 SANDRINGHAM CT",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913262043",
            "telephone_number": "818-522-9807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 West SR 164",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "UT",
            "postal_code": "846538465",
            "country_code": "US",
            "telephone_number": "801-465-4896",
            "fax_number": "801-465-3267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALIN",
        "first_name": "ASHLEY",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "10444481-1206",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.