Individual provider Active NPI

Ashley Josephson, CPO

  • Orthotist
  • Oakland, CA
National Provider Identifier
1790381564
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
License
CPO03677 Issued in MN
Practice address
433 Hegenberger Rd Ste 100
Oakland, CA 94621-1448
Phone
(510) 430-2500
NPI assigned
Dec 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X CPO03677 MN
Orthotist 222Z00000X CPO03677 MN Primary

Addresses

Primary practice location

433 Hegenberger Rd Ste 100
Oakland, CA 94621-1448

Mailing address

433 Hegenberger Rd Ste 100
Oakland, CA 94621-1448
Phone (510) 430-2500

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ajosephson@hanger.com

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CPO03677MNMDProsthetist

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1790381564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 HEGENBERGER RD STE 100",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946211448",
            "telephone_number": "510-430-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 HEGENBERGER RD STE 100",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946211448",
            "telephone_number": "510-430-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPHSON",
        "first_name": "ASHLEY",
        "credential": "CPO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "MN",
            "license": "CPO03677",
            "primary": false
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "MN",
            "license": "CPO03677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ajosephson@hanger.com",
            "affiliation": "N",
            "address_1": "433 Hegenberger Rd Ste 100",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946211448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

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