Individual provider Active NPI

Blake Andrew Ashley, M.D.

  • Surgery Physician
  • Laguna Hills, CA
National Provider Identifier
1235150079
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A72881 Issued in CA
Practice address
24411 Health Center Dr
Suite 350
Laguna Hills, CA 92653-3651
Phone
(949) 457-7900
Fax
(949) 588-8719
NPI assigned
Jul 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A72881 CA Primary

Addresses

Primary practice location

24411 Health Center Dr
Suite 350
Laguna Hills, CA 92653-3651

Mailing address

24411 Health Center Dr
Suite 350
Laguna Hills, CA 92653-3651
Phone (949) 457-7900

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
I20040811000980 CA Practitioner - General SurgeryPractitioner - Vascular Surgery 7618949488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Medical College of Wisconsin, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Orange County Surgical Medical Group IncGroup PAC ID 8426945338, 22 clinicians

Practice addresses (Care Compare)

24411 Health Ctr Dr
Suite 350
Laguna Hills, CA 92653-3687
Phone (949) 457-7900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.08 of 100Reported as group
Quality
62.67
Promoting interoperability
100
Improvement activities
40
Cost
85.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)22
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A72881CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Orange County Surgical Medical Group, Inc. Surgery CurrentSince Jul 21, 2004 Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Memorialcare Surgical Center at Saddleback LLC PastSince Apr 14, 2005 Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Oc Trauma Inc PastSince Jul 21, 2004 Accepting new patients

Locations

24411 Health Center Dr
Ste 350
Laguna Hills, CA 92653
Phone (949) 457-7900

27799 Medical Center Rd
Ste 440
Mission Viejo, CA 92691
Phone (949) 364-1007

1300 Avenida Vista Hermosa
Ste 150
San Clemente, CA 92673
Phone (949) 361-6623

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: blake.ashley.1@12518.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12518/brand/2/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235150079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24411 HEALTH CENTER DR",
            "address_2": "SUITE 350",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533651",
            "telephone_number": "949-457-7900",
            "fax_number": "949-588-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24411 HEALTH CENTER DR",
            "address_2": "SUITE 350",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533651",
            "telephone_number": "949-457-7900",
            "fax_number": "949-588-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHLEY",
        "first_name": "BLAKE",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A72881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.