Individual provider Active NPI

Ashley Elizabeth Moline, PA

  • Physician Assistant
  • Orange, CA
National Provider Identifier
1629858584
Registry record updated Jul 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
610 E Katella Ave
Orange, CA 92867-4954
Phone
(714) 694-2001
NPI assigned
Sep 28, 2023
Last updated
Jul 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

610 E Katella Ave
Orange, CA 92867-4954

Mailing address

610 E Katella Ave
Orange, CA 92867-4954
Phone (714) 694-2001

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
I20250721003784 CA Practitioner - Physician Assistant 7911413521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4720 E Chapman Ave
Orange, CA 92869-4113
Phone (714) 771-7600

610 E Katella Ave
Orange, CA 92867-4954
Phone (714) 694-2001

631 S Brookhurst St
Suite 101
Anaheim, CA 92804-3563
Phone (714) 991-5700

6502 Bolsa Ave
Suite 105
Huntington Beach, CA 92647-2662
Phone (714) 373-2400

8101 Newman Ave
Suite a
Huntington Beach, CA 92647-7042
Phone (714) 698-8580

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oc Urgentcare Medical Group Incorporated CurrentSince May 9, 2025 Accepting new patients

Locations

631 S Brookhurst St
Ste 101
Anaheim, CA 92804
Phone (714) 991-5700

801 S Brookhurst St
Anaheim, CA 92804
Phone (714) 683-0644

26781 Portola Pkwy
Ste 4E
Foothill Rnch, CA 92610
Phone (949) 251-1502

7923 Garden Grove Blvd
Garden Grove, CA 92841
Phone (714) 799-5858

8101 Newman Ave
Ste A
Huntington Beach, CA 92647
Phone (714) 545-5200

6502 Bolsa Ave
Ste 105
Huntington Beach, CA 92647
Phone (714) 373-2400

23653 El Toro Rd
Ste B
Lake Forest, CA 92630
Phone (714) 847-3030

26012 Marguerite Pkwy
Ste H
Mission Viejo, CA 92692
Phone (619) 732-4168

4720 E Chapman Ave
Orange, CA 92869
Phone (714) 771-7600

610 E Katella Ave
Orange, CA 92867
Phone (714) 694-2001

2001 E 4th St
Ste 104
Santa Ana, CA 92705
Phone (657) 201-8018

1401 N Tustin Ave
Ste 150
Santa Ana, CA 92705
Phone (714) 978-4278

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADEBBD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752278400000",
    "number": "1629858584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 E KATELLA AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928674954",
            "telephone_number": "714-694-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E KATELLA AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928674954",
            "telephone_number": "714-694-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINE",
        "first_name": "ASHLEY",
        "middle_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-28",
        "last_updated": "2025-07-12",
        "certification_date": "2025-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.