NPIMap

Organization Active NPI

Ashli Healthcare Inc

  • Durable Medical Equipment & Medical Supplies
  • Fresno, CA
National Provider Identifier
1477807006
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ASHLI HEALTHCARE INC
Practice address
323 W Cromwell Ave
Suite 117
Fresno, CA 93711-5844
Phone
(888) 831-7977
Fax
(888) 831-0909
NPI assigned
Nov 5, 2012
Organization subpart
Yes
Parent organization
ASHLI HEALTHCARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Authorized official

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Oxygen Equipment & Supplies (DME) 332BX2000X

Addresses

Primary practice location

323 W Cromwell Ave
Suite 117
Fresno, CA 93711-5844

Mailing address

2201 Zeus Court
Bakersfield, CA 93308-6867
Phone (888) 831-7977

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130128000151 CA DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 4486854429 Practice locations: Fresno, 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 Inc323 W Cromwell Ave, Fresno, CA 93711-61668888317977101 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
Part of
Ashli Healthcare Inc

Other organizations with this tax ID 4

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

Locations

2201 Zeus Ct
Bakersfield, CA 93308
Phone (888) 831-7977

NPI Registry JSON

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1477807006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 ZEUS COURT",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933086867",
            "telephone_number": "888-831-7977",
            "fax_number": "888-831-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 W CROMWELL AVE",
            "address_2": "SUITE 117",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937115844",
            "telephone_number": "888-831-7977",
            "fax_number": "888-831-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLI HEALTHCARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASHLI HEALTHCARE INC",
        "enumeration_date": "2012-11-05",
        "last_updated": "2013-06-17",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.