Active NPI
Ashley Paz, PT
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Rancho Cucamonga, CA
National Provider Identifier
1093586950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 305350
- Practice address
- 11650 Mission Park Dr Ste 114
Rancho Cucamonga, CA 91730-9010 - Phone
- (909) 565-7012
- NPI assigned
- Jan 10, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 305350 | CA | Primary |
Addresses
Primary practice location
11650 Mission Park Dr Ste 114
Rancho Cucamonga, CA 91730-9010
Mailing address
8605 Santa Monica Blvd PMB 968365
West Hollywood, CA 90069-4109
Phone (909) 565-7012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240227003077 | CA | Practitioner - Physical Therapist in Private Practice | 4981049152 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305350 | CA | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rozina and Smith Physical Therapy Inc. | Current | Accepting new patients | |
| Eternity Physical Therapy & Wellness, PC | Current | Accepting new patients |
Locations
846 W Foothill Blvd
Ste C
Upland, CA 91786
Phone (909) 985-8686
8605 Santa Monica Blvd
West Hollywood, CA 90069
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Rancho Cucamonga, CA
- NPI 1528871142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736035200000",
"number": "1093586950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8605 SANTA MONICA BLVD PMB 968365",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900694109",
"telephone_number": "909-565-7012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11650 MISSION PARK DR STE 114",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917309010",
"telephone_number": "909-565-7012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAZ",
"first_name": "ASHLEY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-10",
"last_updated": "2025-01-05",
"certification_date": "2025-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "CA",
"license": "305350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.