Active NPI
Ashvin Basti Shenoy, M.D.
- Pediatrics Physician
- San Diego, CA
National Provider Identifier
1619262664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A123017
- Practice address
- 292 Euclid Ave
Suite 220
San Diego, CA 92114-3629 - Phone
- (619) 262-8624
- Fax
- (619) 262-6639
- NPI assigned
- Jun 17, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A123017 | CA | Primary |
Addresses
Primary practice location
292 Euclid Ave
Suite 220
San Diego, CA 92114-3629
Mailing address
3860 Calle Fortunada
Suite 200
San Diego, CA 92123-4802
Phone (858) 636-4300
Other practice location 1
1809 National Ave
San Diego, CA 92113-2113
Phone (619) 515-2300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A123017 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Past | Accepting new patients | |
| Sharp Memorial Hospital | Past | Accepting new patients | |
| Marilyn Kaufhold, M.D., a Medical Corporation | Past | Accepting new patients | |
| Rady Children's Hospital San Diego | Past | Accepting new patients | |
| Scripps Health | Past | Accepting new patients | |
| Paradise Valley Hospital | Past | Accepting new patients |
Interoperability endpoints
- ashenoy80485@scrippshlth.medalliesdirect.net
Organizations & group practices 7
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.
-
dba Scripps Hospital Medical Services
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Children's Hospital
- San Diego, CA
- NPI 1336359389
-
- General Acute Care Hospital
- National City, CA
- NPI 1598756710
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Diego, CA
- NPI 1851303994
-
- Clinical Medical Laboratory
- La Jolla, CA
- NPI 1427034990
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1407839921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1619262664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3860 CALLE FORTUNADA",
"address_2": "SUITE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234802",
"telephone_number": "858-636-4300",
"fax_number": "858-636-4319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "292 EUCLID AVE",
"address_2": "SUITE 220",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921143629",
"telephone_number": "619-262-8624",
"fax_number": "619-262-6639"
}
],
"practiceLocations": [
{
"address_1": "1809 National Ave",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921132113",
"country_code": "US",
"telephone_number": "619-515-2300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHENOY",
"first_name": "ASHVIN",
"middle_name": "BASTI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-17",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A123017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.