Individual provider Active NPI

Ashish Kumar Wadhwa, MD

  • Otolaryngology Physician
  • Poway, CA
National Provider Identifier
1477595189
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A75692 Issued in CA
Practice address
12630 Monte Vista Rd
Suite 206
Poway, CA 92064-2530
Phone
(858) 674-1165
Fax
(858) 674-9841
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A75692 CA Primary

Addresses

Primary practice location

12630 Monte Vista Rd
Suite 206
Poway, CA 92064-2530

Mailing address

12630 Monte Vista Rd
Suite 206
Poway, CA 92064-2530
Phone (858) 674-1165

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050106000302 CA Practitioner - Otolaryngology 9638127749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Jefferson Medical College of Thomas Jefferson University, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Ashish K Wadhwa MD a Medical CorporationGroup PAC ID 9032167135, 3 clinicians

Practice addresses (Care Compare)

12630 Monte Vista Rd
Suite 205
Poway, CA 92064-2526

12630 Monte Vista Rd
Suite 206
Poway, CA 92064-2527
Phone (858) 674-1165

12630 Monte Vista Rd
Suite 206
Poway, CA 92064-2530

Hospital & facility affiliations

  • Palomar Health Downtown Campus Hospital, Escondido, CA, CCN 050115
  • Palomar Medical Center Poway Hospital, Poway, CA, CCN 050636

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
75692CAMDPharmacist
A75692CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ashish K Wadhwa MD a Medical Corporation Otolaryngology CurrentSince Oct 1, 2004 Accepting new patients
Palomar Health Past Accepting new patients

Locations

12630 Monte Vista Rd
Ste 205
Poway, CA 92064
Phone (858) 355-0244

12630 Monte Vista Rd
Ste 206
Poway, CA 92064
Phone (858) 355-0244

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1477595189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12630 MONTE VISTA RD",
            "address_2": "SUITE 206",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642530",
            "telephone_number": "858-674-1165",
            "fax_number": "858-674-9841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12630 MONTE VISTA RD",
            "address_2": "SUITE 206",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642530",
            "telephone_number": "858-674-1165",
            "fax_number": "858-674-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADHWA",
        "first_name": "ASHISH",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A75692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

Verify at the official NPI Registry.