Individual provider Active NPI

Ashley Shatola

  • Psychiatry Physician
  • San Francisco, CA
National Provider Identifier
1134748361
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A178386 Issued in CA
Practice address
2401 Keith St, San Francisco, Ca 94124
San Francisco, CA 94124
Phone
(628) 754-8100
NPI assigned
Apr 8, 2020
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A178386 CA Primary
General Practice Physician 208D00000X 3910 CA

Addresses

Primary practice location

2401 Keith St, San Francisco, Ca 94124
San Francisco, CA 94124

Mailing address

2401 Keith St, San Francisco, Ca 94124
San Francisco, CA 94124
Phone (628) 754-8100

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
I20221209002052 CA Practitioner - Psychiatry 7618346800 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3910CAMDNutritionist
A178386CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Mateo CurrentSince May 1, 2024 Accepting new patients
County of San Mateo CurrentSince Sep 1, 2022 Accepting new patients
City and County of San Francisco CurrentSince Nov 12, 2025 Accepting new patients
County of San Mateo Current Accepting new patients
City & County of San Francisco CurrentSince Nov 12, 2025 Accepting new patients
San Mateo County Psychiatry CurrentSince Sep 1, 2022 Accepting new patients

Locations

375 89th St
Daly City, CA 94015
Phone (650) 301-8648

802 Brewster Ave
Redwood City, CA 94063
Phone (650) 363-4111

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

2401 Keith St
San Francisco, CA 94124
Phone (415) 671-7000

1950 Alameda de las Pulgas
San Mateo, CA 94403
Phone (650) 573-3571

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

Interoperability endpoints

  • Direct secure messaging: ashatola18905@smch.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1134748361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 KEITH ST, SAN FRANCISCO, CA 94124",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94124",
            "telephone_number": "628-754-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 KEITH ST, SAN FRANCISCO, CA 94124",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94124",
            "telephone_number": "628-754-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHATOLA",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A178386",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "3910",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.