Edward E Aston IV MD Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G19019 Issued in CA

Legal business name

EDWARD E ASTON IV MD INC

Practice address

333 W Bastanchury Rd
Suite 110
Fullerton, CA 92835-3420

Phone

(714) 879-4312

Fax

(714) 879-2154

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Jo Stanton

Title

Office Manager

Phone

(714) 879-4312

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward E Aston IV, M. D.

  • Dermatology Physician
  • Fullerton, CA
  • NPI 1710917513
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710085212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W BASTANCHURY RD",
            "address_2": "SUITE 110",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353420",
            "telephone_number": "714-879-4312",
            "fax_number": "714-879-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W BASTANCHURY RD",
            "address_2": "SUITE 110",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353420",
            "telephone_number": "714-879-4312",
            "fax_number": "714-879-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD E ASTON IV MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STANTON",
        "authorized_official_first_name": "JO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-879-4312",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G19019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G190190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.