Ashley R Bateman, M.D.
Individual provider Active NPI Adolescent Medicine (Family Medicine) Physician · Malibu, CA
NPI 1275769887 · NPPES record last updated Jan 6, 2020
Key facts
- NPI
- 1275769887
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adolescent Medicine (Family Medicine) Physician 207QA0000X
- License
- A120827 (CA)
- Practice address
- 23815 Stuart Ranch Rd Ste 300
Malibu, CA 90265-4861 - Phone
- (310) 456-1668
- Fax
- (310) 456-8838
- NPI assigned
- Jun 10, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- The Regents of the University of California
Practice addresses (Care Compare)
2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381
23815 Stuart Ranch Rd
Malibu, CA 90265-4861
Hospital & facility affiliations
- Los Robles Healthcare
- Santa Monica - UCLA Med Ctr & Orthopaedic Hospital
- Ronald Reagan UCLA Medical Center
- UCLA West Valley Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 100 |
| Removal of nail tissue | 13 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120619000154 | CA | Practitioner - Family Practice | 2163686379 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A120827 | CA | MD | Adolescent Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Regents of the University of California | Family Medicine | Current |
Accepting new patients |
| The Regents of the University of California | Current |
Accepting new patients | |
| UCLA Medical Group | Family Medicine | Past | Accepting new patients |
Locations
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
File 55737
Los Angeles, CA 90074
23815 Stuart Ranch Rd
#300
Malibu, CA 90265
Phone (310) 456-1668
2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381
100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500
Interoperability endpoints
- abateman59466@direct.uclahealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A120827 | CA | |
| Adolescent Medicine (Family Medicine) Physician | 207QA0000X | A120827 | CA | Yes |
Addresses
Primary practice location
23815 Stuart Ranch Rd Ste 300
Malibu, CA 90265-4861
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275769887 | Medicaid | CA |
Other providers in Malibu, CA
- Joshua Ballenger
- Jacque Monaghan Barberie
- David Bret Baron
- Corinne Jill Barthell
- Alisa Ruby Bash
- Scott French Bateman
- Beachstep Investments, LLC
- Beaton Orthopedic Physical Therapy
- Beaton Orthopedic Physical Therapy-Malibu Rehabilitation Center
- Gregory S Beaton
All providers in Malibu, CA · Adolescent Medicine (Family Medicine) Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.