NPIMap

Individual provider Active NPI

Mark Ashby, PA

  • Physician Assistant
  • Sherman Oaks, CA
National Provider Identifier
1093060386
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA22159 Issued in CA
Practice address
13547 Ventura Blvd Ste 282
Sherman Oaks, CA 91423-3825
Phone
(818) 968-4242
Fax
(818) 968-4242
NPI assigned
Jul 23, 2012
Last updated
Nov 4, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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 PA22159 CA Primary

Addresses

Primary practice location

13547 Ventura Blvd Ste 282
Sherman Oaks, CA 91423-3825

Mailing address

4310 Greenbush Ave
Sherman Oaks, CA 91423-3911
Phone (818) 968-4242

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
I20120906000175 CA Practitioner - Physician Assistant 2365699824 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Valley Emergency MedicineGroup PAC ID 7113412560, 26 clinicians
Ca Physician Assistant Cooperative Healthcare PCGroup PAC ID 9032641469, 2 clinicians

Practice addresses (Care Compare)

465 W Putnam Ave
Porterville, CA 93257-3320
Phone (559) 784-1110

645 Aerick St
Suite 3
Inglewood, CA 90301-4884
Phone (310) 431-4926

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA22159CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Central Valley Emergency Medicine CurrentSince Jan 3, 2026 Accepting new patients
Medflow PC Past Accepting new patients
Can Emergency Physicians Medical Group, Inc. Past Accepting new patients

Locations

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

5211 W Goshen Ave
Visalia, CA 93291
Phone (559) 372-0568

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1093060386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 GREENBUSH AVE",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914233911",
            "telephone_number": "818-968-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13547 VENTURA BLVD STE 282",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914233825",
            "telephone_number": "818-968-4242",
            "fax_number": "818-968-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHBY",
        "first_name": "MARK",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-23",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA22159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.