Ashley Hartt Anderson, DO
Individual provider Active NPI Family Medicine Physician · Davis, CA
NPI 1730448366 · NPPES record last updated Jan 5, 2024
Key facts
- NPI
- 1730448366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 20A16535 (CA)
- Practice address
- 2330 W Covell Blvd
Davis, CA 95616-5658 - Phone
- (530) 668-2600
- Fax
- (530) 756-5917
- NPI assigned
- May 16, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of North Texas HSC, College of Osteopathic Med, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Dignity Health Medical Foundation
Practice addresses (Care Compare)
632 W Gibson Rd
Woodland, CA 95695-5169
Phone (530) 668-2600
Hospital & facility affiliations
- Woodland Healthcare Home Health
- Woodland Memorial Hospital
- Mercy General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180824002915 | CA | Practitioner - Family Practice | 3678706975 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A16535 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health Medical Foundation | Current |
Accepting new patients | |
| Dignity Health Medical Foundation | Current |
Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Christus Santa Rosa Health Care Corporation | Past | Accepting new patients | |
| Dignity Community Care | Past | Accepting new patients | |
| Chest Diagnostic Therapeutic SVCS & Transit Nursing of TX, Inc | Past | Accepting new patients | |
| Tri County Family Medical Care Group LLC | Family Medicine | Past | Accepting new patients |
Locations
2330 W Covell Blvd
Davis, CA 95616
Phone (530) 668-2600
3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726
632 W Gibson Rd
Woodland, CA 95695
Phone (530) 666-1631
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A16535 | CA | Yes |
Addresses
Primary practice location
2330 W Covell Blvd
Davis, CA 95616-5658
Mailing address
3400 Data Dr
Attn: Credentialing/Payer Enrollment
Rancho Cordova, CA 95670-7956
Other names
- Ashley Erin Hartt
Other providers in Davis, CA
- Irene Ammar
- Sharon Amon
- Adriana Anaya
- Emiko Lea Ancheta
- Anne Crowell Anderson
- Jennifer Anne Anderson
- Kimberly Jane Anderson
- Susan Andrek
- Adinda Andresen
- Michele Park Andrew
All providers in Davis, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.