NPIMap

Organization Active NPI

Ashish K Wadhwa MD a Medical Corporation

Doing business as Rancho Ear, Nose & Throat

  • Otolaryngology Physician
  • Poway, CA
National Provider Identifier
1194814731
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A75692 Issued in CA
Legal business name
ASHISH K WADHWA MD A MEDICAL CORPORATION
Doing business as
Rancho Ear, Nose & Throat
Practice address
12630 Monte Vista Road
Suite 206
Poway, CA 92064
Phone
(858) 674-1165
Fax
(858) 674-9841
NPI assigned
Oct 12, 2006
Last updated
Jul 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Authorized official

Name
Dr. Ashish K Wadhwa, MDNPI 1477595189
Title
President
Phone
(858) 674-1165

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A75692 CA Primary

Addresses

Primary practice location

12630 Monte Vista Road
Suite 206
Poway, CA 92064

Mailing address

12630 Monte Vista Road
Suite 206
Poway, CA 92064
Phone (858) 674-1165

Other names 1

  • Rancho Ear, Nose & Throat Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050105000732 CA Part B Supplier - Clinic/Group Practice 9032167135 Receives reassigned benefits from 8 practitioners
Practice locations: Poway, CA

National Provider Directory

National Provider Directory

Locations

12630 Monte Vista Rd
Ste 205
Poway, CA 92064
Phone (858) 355-0244

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1194814731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12630 MONTE VISTA ROAD",
            "address_2": "SUITE 206",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "92064",
            "telephone_number": "858-674-1165",
            "fax_number": "858-674-9841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12630 MONTE VISTA ROAD",
            "address_2": "SUITE 206",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "92064",
            "telephone_number": "858-674-1165",
            "fax_number": "858-674-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHISH K WADHWA MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "WADHWA",
        "authorized_official_first_name": "ASHISH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-674-1165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A75692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rancho Ear, Nose & Throat",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.