Individual provider Active NPI

Ashley Duzik, DO

  • Family Medicine Physician
  • Tarzana, CA
National Provider Identifier
1255861456
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A16724 Issued in CA
Practice address
18607 Ventura Blvd
Tarzana, CA 91356-4159
Phone
(818) 600-1472
NPI assigned
Jun 19, 2017
Last updated
Jun 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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 20A16724 CA Primary

Addresses

Primary practice location

18607 Ventura Blvd
Tarzana, CA 91356-4159

Mailing address

18607 Ventura Blvd Ste 102
Tarzana, CA 91356-6804
Phone (818) 600-1472

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
I20201030001734 CA Practitioner - Family Practice 0244650752 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A16724CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Comprehensive Medical Group, Inc. CurrentSince Aug 1, 2020 Accepting new patients

Locations

18607 Ventura Blvd
Ste 102
Tarzana, CA 91356
Phone (818) 600-1472

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1255861456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18607 VENTURA BLVD STE 102",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566804",
            "telephone_number": "818-600-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18607 VENTURA BLVD",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564159",
            "telephone_number": "818-600-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUZIK",
        "first_name": "ASHLEY",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A16724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.