Individual provider Active NPI

Ashley Lawrence Iwasaki, PA-C

  • Physician Assistant
  • Salt Lake City, UT
National Provider Identifier
1356675797
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5990758-1206 Issued in UT
Practice address
144 South 500 East
Salt Lake City, UT 84102-2915
Phone
(801) 562-4244
NPI assigned
Oct 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5990758-1206 UT Primary
Medical Physician Assistant 363AM0700X 5990758-1206 UT

Addresses

Primary practice location

144 South 500 East
Salt Lake City, UT 84102-2915

Mailing address

144 S 500 E
Salt Lake City, UT 84102-1907
Phone (801) 562-4244

Other practice location 1

12000 E Big Cottonwood Canyon Rd
Brighton, UT 84121-9710
Phone (801) 533-2002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20100520001064 UT Practitioner - Physician Assistant 6204965791 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3580 W 9000
West Jordan, UT 84088-8812
Phone (801) 561-8888

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5990758-1206UTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Feb 21, 2010 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Feb 1, 2024 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Feb 1, 2024 Accepting new patients
Ihc Health Services Inc CurrentSince Feb 21, 2010 Accepting new patients
Ihc Health Services Inc CurrentSince Aug 11, 2012 Accepting new patients
Physician Group of Utah Inc CurrentSince Dec 5, 2010 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

12000 E Big Cottonwood Canyon Rd
Fl 1
Brighton, UT 84121
Phone (435) 776-7522

12000 E Big Cottonwood Canyon Rd
Brighton, UT 84121
Phone (801) 328-4063

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

1600 W Antelope Dr
Layton, UT 84041
Phone (801) 807-1000

630 Medical Dr
North Salt Lake, UT 84010
Phone (801) 292-6231

3451 W 5600 S
Roy, UT 84067
Phone (801) 896-5600

82 S 1100 E
Ste 303
Salt Lake Cty, UT 84102
Phone (801) 533-2002

82 S 1100 E
Ste 103
Salt Lake Cty, UT 84102
Phone (801) 505-5370

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

2530 W 4700 S
Ste B8
Taylorsville, UT 84129
Phone (801) 967-5866

3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810

3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 964-3111

Organizations & group practices 11

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": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1356675797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 S 500 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021907",
            "telephone_number": "801-562-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 SOUTH 500 EAST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022915",
            "telephone_number": "801-562-4244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12000 E Big Cottonwood Canyon Rd",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "UT",
            "postal_code": "841219710",
            "country_code": "US",
            "telephone_number": "801-533-2002",
            "fax_number": "801-323-9546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IWASAKI",
        "first_name": "ASHLEY",
        "middle_name": "LAWRENCE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-01",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "5990758-1206",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "5990758-1206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.