Individual provider Active NPI

Edward E Aston IV, M. D.

  • Dermatology Physician
  • Fullerton, CA
National Provider Identifier
1710917513
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G19019 Issued in CA
Practice address
333 W Bastanchury Rd
Suite 110
Fullerton, CA 92835-3420
Phone
(714) 879-4312
Fax
(714) 879-2154
NPI assigned
Jul 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G19019 CA Primary

Addresses

Primary practice location

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

Mailing address

333 W Bastanchury Rd
Suite 110
Fullerton, CA 92835-3420
Phone (714) 879-4312

Other identifiers 1

IdentifierTypeStateIssuer
00G190190MedicaidCA

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
William P Baugh MD Inc Dermatology Past Accepting new patients
Edward E Aston IV MD Inc Dermatology PastSince Jan 1, 1990 Accepting new patients

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710917513",
    "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": {
        "last_name": "ASTON",
        "first_name": "EDWARD",
        "middle_name": "E",
        "name_suffix": "IV",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G19019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G190190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.