Active NPI
Ellyn R. Ashida, M.D., Inc.
Doing business as Pacific Allergy & Asthma Medical Assoc
- Allergy & Immunology Physician
- Torrance, CA
National Provider Identifier
1669642658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- C40034
- Legal business name
- ELLYN R. ASHIDA, M.D., INC.
- Doing business as
- Pacific Allergy & Asthma Medical Assoc
- Practice address
- 4201 Torrance Blvd
730
Torrance, CA 90503-4504 - Phone
- (310) 944-9098
- NPI assigned
- Mar 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ellyn Ashida, MD
- Title
- President
- Phone
- (310) 944-9098
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | C40034 | CA | Primary |
Addresses
Primary practice location
4201 Torrance Blvd
730
Torrance, CA 90503-4504
Mailing address
4201 Torrance Blvd
730
Torrance, CA 90503-4504
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C400340 | Medicaid | CA |
Other names 1
- Pacific Allergy & Asthma Medical Assoc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4201 Torrance Blvd
Ste 680
Torrance, CA 90503
Phone (310) 543-4444
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Allergy & Immunology Physician
- Torrance, CA
- NPI 1245201516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582243200000",
"number": "1669642658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 TORRANCE BLVD",
"address_2": "730",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905034504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 TORRANCE BLVD",
"address_2": "730",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905034504",
"telephone_number": "310-944-9098"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELLYN R. ASHIDA, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-05",
"last_updated": "2020-02-21",
"certification_date": "2020-02-21",
"status": "A",
"authorized_official_last_name": "ASHIDA",
"authorized_official_first_name": "ELLYN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-944-9098",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": "CA",
"license": "C40034",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C400340",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pacific Allergy & Asthma Medical Assoc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.