Individual provider Active NPI

Ashley Staley

  • Physician Assistant
  • Poway, CA
National Provider Identifier
1558243725
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
15755 Riparian Rd
Poway, CA 92064-2259
Phone
(858) 335-0367
NPI assigned
Jul 21, 2025
Last updated
Jul 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

15755 Riparian Rd
Poway, CA 92064-2259

Mailing address

15755 Riparian Rd
Poway, CA 92064-2259
Phone (858) 335-0367

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251031003942 CA Practitioner - Physician Assistant 6709375314 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Pacific Senior GroupGroup PAC ID 6406204270, 8 clinicians
Dansin IncGroup PAC ID 0547330797, 4 clinicians
Kevin Yoo MD ApcGroup PAC ID 7113997982, 3 clinicians

Practice addresses (Care Compare)

2424 Vista Way
Suite 105
Oceanside, CA 92054-6178
Phone (858) 876-5311

296 H St
Suite 303
Chula Vista, CA 91910-4779
Phone 6194767958107

705 E Ohio Ave
Escondido, CA 92025-3418
Phone (858) 909-9033

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67105CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Senior Group CurrentSince Oct 4, 2025 Accepting new patients
Dansin, Inc CurrentSince Nov 3, 2025 Accepting new patients
Eye Surgery Ctr of So Calif a Med Group CurrentSince Nov 3, 2025 Accepting new patients
Kevin Yoo, M.D. Apc Current Accepting new patients

Locations

296 H St
Ste 303
Chula Vista, CA 91910
Phone (619) 476-7958

750 Medical Center Ct
Ste 5
Chula Vista, CA 91911
Phone (619) 482-0082

705 E Ohio Ave
Escondido, CA 92025
Phone (619) 489-9490

4150 Regents Park Row
Ste 325
La Jolla, CA 92037
Phone (858) 859-2563

9834 Genesee Ave
Ste 310
La Jolla, CA 92037
Phone (858) 457-0034

2424 Vista Way
Ste 105
Oceanside, CA 92054
Phone (858) 209-3717

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

9921 Carmel Mountain Rd
San Diego, CA 92129
Phone (619) 602-6351

31170 Temecula Pkwy
Ste 100
Temecula, CA 92592
Phone (951) 698-6090

2023 W Vista Way
Ste C
Vista, CA 92083
Phone (760) 732-0522

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1753056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1558243725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15755 RIPARIAN RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642259",
            "telephone_number": "858-335-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15755 RIPARIAN RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642259",
            "telephone_number": "858-335-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALEY",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

Verify at the official NPI Registry.