Organization Active NPI

Ashli Healthcare Inc

  • Oxygen Equipment & Supplies (DME)
  • San Diego, CA
National Provider Identifier
1336557602
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
ASHLI HEALTHCARE INC
Practice address
9484 Chesapeake Dr
Suite 807
San Diego, CA 92123-1046
Phone
(661) 399-2199
Fax
(661) 399-7732
NPI assigned
Jul 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Authorized official

Name
Heriberto Diaz
Title
President
Phone
(661) 979-4619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

9484 Chesapeake Dr
Suite 807
San Diego, CA 92123-1046

Mailing address

2201 Zeus CT
Bakersfield, CA 93308-6867
Phone (661) 399-2199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150612000516 CA DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 4486854429 Practice locations: San Diego, CA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Ashli Healthcare Inc9484 Chesapeake Dr, San Diego, CA 92123-10288888317977101 Automatic Ext Defibrillator (AEDS) and/or Supplies|Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Gastric Suction Pumps|Hospital Beds (Electric)|Hospital Beds (Manual)|Pneumatic Compres… Accepts assignmentParticipating since Oct 5, 2009

National Provider Directory

National Provider Directory
Tax ID family
Ashli Healthcare Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

323 W Cromwell Ave
Ste 117
Fresno, CA 93711
Phone (888) 831-7977

9484 Chesapeake Dr
Ste 807
San Diego, CA 92123
Phone (661) 399-2199

NPI Registry JSON

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1336557602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 ZEUS CT",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933086867",
            "telephone_number": "661-399-2199",
            "fax_number": "661-399-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9484 CHESAPEAKE DR",
            "address_2": "SUITE 807",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231046",
            "telephone_number": "661-399-2199",
            "fax_number": "661-399-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLI HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-30",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "HERIBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-979-4619"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.