Individual provider Active NPI

Ashlee Morgan Shapiro, PA-C

  • Physician Assistant
  • Santa Ana, CA
National Provider Identifier
1316304561
Registry record updated Sep 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6306 Issued in AZ
Practice address
2740 S Bristol St Ste 100
Santa Ana, CA 92704-6232
Phone
(714) 825-1844
NPI assigned
Jan 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6306 AZ Primary

Addresses

Primary practice location

2740 S Bristol St Ste 100
Santa Ana, CA 92704-6232

Mailing address

17211 Coriander CT
Yorba Linda, CA 92886-6251
Phone (480) 390-6791

Other identifiers 2

IdentifierTypeStateIssuer
53141OtherCAPHYSICIAN ASSISTANT BOARD CALIFORNIA
6306OtherAZARIZONA PHYSICIAN ASSISTANCE LICENSURE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160505001120 AZ Practitioner - Physician Assistant 2860791274 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6306AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jorge R Lopez MD a Professional Medical Corporation CurrentSince Sep 8, 2024 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Dec 5, 2016 Accepting new patients

Locations

1107 E Bell Rd
Ste 4
Phoenix, AZ 85022
Phone (602) 567-4800

5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115

2740 S Bristol St
Ste 100
Santa Ana, CA 92704
Phone (714) 825-1844

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725235200000",
    "number": "1316304561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17211 CORIANDER CT",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928866251",
            "telephone_number": "480-390-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 S BRISTOL ST STE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046232",
            "telephone_number": "714-825-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "ASHLEE",
        "middle_name": "MORGAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-19",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "6306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT BOARD CALIFORNIA",
            "identifier": "53141",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA PHYSICIAN ASSISTANCE LICENSURE",
            "identifier": "6306",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.