Ashley Medical Group, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A60195 Issued in CA

Legal business name

ASHLEY MEDICAL GROUP, INC

Practice address

4000 14TH St
Ste 213
Riverside, CA 92501-4009

Phone

(951) 248-0073

Fax

(951) 248-0075

NPI assigned

Jun 28, 2005

Organization subpart

No

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

Authorized official

Name

Ashley Tang, MD

Title

MD

Phone

(951) 248-0073

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ashley Tang MD, Ashley Medical Group, Inc. Doing business as

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1154327773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 14TH ST",
            "address_2": "STE 213",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014009",
            "telephone_number": "951-248-0073",
            "fax_number": "951-248-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 14TH ST",
            "address_2": "STE 213",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014009",
            "telephone_number": "951-248-0073",
            "fax_number": "951-248-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLEY MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "TANG",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "951-248-0073",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A60195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A601950",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashley Tang MD, Ashley Medical Group, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amal Asghar
• Arya Asghari, MD
• Lynette Ann Ashby, LPT
• Sarah Ashe
• Seraphina Lin Ashe, LMFT
• Jacqueline S Ashley, LCSW
• Mark A. Ashley, MD
• Anousheh Ashouri, M.D.
• Fatima Ashraf
• Rochelle Denise Ashton-Beasley

• Internal Medicine Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.