Ashley Lauren Avalos, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

42033 Issued in CA

Practice address

2777 Bristol St Ste B
Costa Mesa, CA 92626-5997

Phone

(949) 250-1112

Fax

(949) 250-1401

NPI assigned

Dec 9, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ashley Lauren Magsanide Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1205234176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2777 BRISTOL ST STE B",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265997",
            "telephone_number": "949-250-1112",
            "fax_number": "949-250-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2777 BRISTOL ST STE B",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265997",
            "telephone_number": "949-250-1112",
            "fax_number": "949-250-1401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "239 E Katella Ave",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928674853",
            "country_code": "US",
            "telephone_number": "714-538-0025",
            "fax_number": "714-538-3128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVALOS",
        "first_name": "ASHLEY",
        "middle_name": "LAUREN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-09",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "42033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "MAGSANIDE",
            "middle_name": "LAUREN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Akua Manu Atuahene, LVN
• Atul K Madan MD a Medical Corporation
• Lilian Au, N.D., M.P.H
• Seok Joo Aum, L.AC.
• Karen Moe Aung, PSYD, LP
• Taupatiga Omar Avei
• Irene Avelar-Velasquez
• Jennifer Avellaneda Castrejon
• Jaden Avery-Matthews
• Lillie Avetisyan-Harvey, LCSW

• Physical Therapist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.