Individual provider Active NPI

Ashley Denyse Arellano, PA-C

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1124459227
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA09754 Issued in TX
Practice address
4502 Medical Dr
San Antonio, TX 78229-4492
Phone
(210) 358-4000
NPI assigned
Nov 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0006205 MD
Physician Assistant 363A00000X PA.200685 LA
Medical Physician Assistant 363AM0700X PA.60785224 WA
Physician Assistant 363A00000X PA09754 TX Primary

Addresses

Primary practice location

4502 Medical Dr
San Antonio, TX 78229-4492

Mailing address

4502 Medical Dr
San Antonio, TX 78229-4492
Phone (210) 358-4000

Other practice location 1

18012 W Valley Hwy
Suite 101
Kent, WA 98032
Phone (524) 291-3300

Other practice location 2

148 Wall Blvd
Gretna, LA 70056-7107
Phone (504) 393-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 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
I20131214000055 LA Practitioner - Physician Assistant 5799912994 Reassigns benefits to 1 organization
I20191211002394 TX Practitioner - Physician Assistant 5799912994 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA09754TXMDPhysician Assistant
PA.60785224WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Health Science Center at San Antonio CurrentSince Apr 1, 2024 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Apr 1, 2024 Accepting new patients
Ochsner Clinic LLC CurrentSince May 3, 2014 Accepting new patients
Ochsner Clinic LLC CurrentSince May 3, 2014 Accepting new patients
St. David'S Carenow Urgent Care PLLC Past Accepting new patients
Methodist Carenow Urgent Care PLLC PastSince Aug 1, 2023 Accepting new patients

Locations

1514 Jefferson Hwy
New Orleans, LA 70121

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

Organizations & group practices 10

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": "1385683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1124459227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294492",
            "telephone_number": "210-358-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294492",
            "telephone_number": "210-358-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18012 W Valley Hwy",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "WA",
            "postal_code": "98032",
            "country_code": "US",
            "telephone_number": "524-291-3300",
            "fax_number": "425-291-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "148 Wall Blvd",
            "address_purpose": "LOCATION",
            "city": "Gretna",
            "state": "LA",
            "postal_code": "700567107",
            "country_code": "US",
            "telephone_number": "504-393-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARELLANO",
        "first_name": "ASHLEY",
        "middle_name": "DENYSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-29",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0006205",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA.200685",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA.60785224",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.