Individual provider Active NPI

Andrea Elaine Ashby, M.D.

  • Family Medicine Physician
  • Lafayette, CA
National Provider Identifier
1205854593
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G51940 Issued in CA
Practice address
3182 Old Tunnel Rd D
Lafayette, CA 94549-4152
Phone
(925) 283-1210
NPI assigned
Jul 17, 2006
Reactivated
Oct 24, 2017
Last updated
Oct 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G51940 CA Primary

Addresses

Primary practice location

3182 Old Tunnel Rd D
Lafayette, CA 94549-4152

Mailing address

3182 Old Tunnel Rd D
Lafayette, CA 94549-4152
Phone (925) 283-1210

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
I20081230000613 CA Practitioner - Family PracticePractitioner - General Practice 1658433586 Practice locations: Lafayette, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G51940CAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1205854593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3182 OLD TUNNEL RD D",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494152",
            "telephone_number": "925-283-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3182 OLD TUNNEL RD D",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494152",
            "telephone_number": "925-283-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHBY",
        "first_name": "ANDREA",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2017-10-24",
        "deactivation_date": "2017-10-09",
        "reactivation_date": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G51940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CA

Sources for this page

Verify at the official NPI Registry.