Individual provider Active NPI

Ashley Jean Calanni

  • Physician Assistant
  • San Diego, CA
National Provider Identifier
1164950184
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1147294 Issued in CA
Practice address
6202 Friars Rd Unit 215
San Diego, CA 92108-5012
Phone
(530) 941-4163
Fax
(530) 941-4163
NPI assigned
Jun 3, 2017
Last updated
Jul 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1147294 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

6202 Friars Rd Unit 215
San Diego, CA 92108-5012

Mailing address

6202 Friars Rd Unit 215
San Diego, CA 92108-5012
Phone (530) 941-4163

Other names 1

  • Ashley Jean Schmidt Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230720001982 CA Practitioner - Physician Assistant 8628438777 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medderm CorporationGroup PAC ID 2567465487, 6 clinicians

Practice addresses (Care Compare)

3965 5TH Ave
Suite 200
San Diego, CA 92103-3107
Phone (619) 542-0013

Merit-based Incentive Payment System (MIPS)

Final score
53.94 of 100Reported as group
Quality
0
Improvement activities
40
Cost
79.82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54782CAMDDentist
1147294CAMDPhysician Assistant

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, 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": "1496448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1164950184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6202 FRIARS RD UNIT 215",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921085012",
            "telephone_number": "530-941-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6202 FRIARS RD UNIT 215",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921085012",
            "telephone_number": "530-941-4163",
            "fax_number": "530-941-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALANNI",
        "first_name": "ASHLEY",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-03",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "1147294",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "SCHMIDT",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.