Active NPI
Ashley J Tarasen, MD
- Anatomic Pathology & Clinical Pathology Physician
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- A135962
- Practice address
- 4301 N Star Way
Modesto, CA 95356-9262 - Phone
- (209) 577-1200
- Fax
- (209) 577-6517
- NPI assigned
- Jun 1, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology (Pathology) Physician | 207ZD0900X | A135962 | CA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | A135962 | CA | Primary |
Addresses
Primary practice location
4301 N Star Way
Modesto, CA 95356-9262
Mailing address
PO Box 576768
Modesto, CA 95357-6768
Phone (209) 577-1200
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20001 S Rancho Way
Rancho Dominguez, CA 90220-6318
Phone (310) 225-3244
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A135962 | CA | MD | Dermatopathology (Pathology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Path MD Inc | Current | Accepting new patients | |
| Edgar S. Macias, M.D., Inc | Current | Accepting new patients | |
| Yosemite Pathology Medical Group, Inc | Dermatopathology | Current | Accepting new patients |
| Affiliated Pathologists Medical Group, Inc. | Dermatopathology | Current | Accepting new patients |
| Yosemite Pathology Medical Group | Past | Accepting new patients | |
| Soc Pathology Medical Group Inc. | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| Pih Health Good Samaritan Hospital | Past | Accepting new patients | |
| Yosemite Pathology Medical Group, in | Past | Accepting new patients | |
| Specialized University Pathologists | Past | Accepting new patients |
Locations
931 Buena Vista St
Ste 200A
Duarte, CA 91010
Phone (818) 321-2745
7115 N Chestnut Ave
Ste 101
Fresno, CA 93720
Phone (559) 431-2397
1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000
8158 Beverly Blvd
Los Angeles, CA 90048
Phone (310) 489-5615
3172 Collins Dr
Ste B
Merced, CA 95348
Phone 2095771200220
2625 Coffee Rd
Ste S
Modesto, CA 95355
Phone (208) 577-1200
4301 N Star Way
Modesto, CA 95356
Phone (915) 521-2290
4301 N Star Way
Ste A
Modesto, CA 95356
20001 S Rancho Way
Rancho Dominguez, CA 90220
Phone (310) 225-3221
350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500
10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 963-2002
1300 W 7th St
San Pedro, CA 90732
Phone (310) 514-5350
6001 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 275-8273
8 Medical Pkwy
Ste 306
Farmers Brnch, TX 75234
Phone (323) 649-3211
Organizations & group practices 9
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Rancho Dominguez, CA
- NPI 1730119553
Dermatopathology
-
- Dermatology Physician
- Fresno, CA
- NPI 1871882712
-
- Clinical Medical Laboratory
- Duarte, CA
- NPI 1124316138
-
- Anatomic Pathology & Clinical Pathology Physician
- Modesto, CA
- NPI 1598760985
Dermatopathology
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1508859323
-
- Anatomic Pathology & Clinical Pathology Physician
- Rancho Dominguez, CA
- NPI 1598081424
-
- Urology Physician
- Duarte, CA
- NPI 1356735989
-
- Clinical Medical Laboratory
- Modesto, CA
- NPI 1831364140
-
- Clinical Medical Laboratory
- Tracy, CA
- NPI 1114192176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1366736977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 576768",
"city": "MODESTO",
"state": "CA",
"postal_code": "953576768",
"telephone_number": "209-577-1200",
"fax_number": "209-577-6517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 N STAR WAY",
"city": "MODESTO",
"state": "CA",
"postal_code": "953569262",
"telephone_number": "209-577-1200",
"fax_number": "209-577-6517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARASEN",
"first_name": "ASHLEY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-01",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "CA",
"license": "A135962",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "A135962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.