Individual provider Active NPI

Ashley Shaw, FNP-C

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1821536137
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95004599 Issued in CA
Practice address
12284 Semillon Blvd
San Diego, CA 92131-2223
Phone
(858) 692-4360
NPI assigned
Feb 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95004599 CA Primary

Addresses

Primary practice location

12284 Semillon Blvd
San Diego, CA 92131-2223

Mailing address

12284 Semillon Blvd
San Diego, CA 92131-2223
Phone (858) 692-4360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170413002258 CA Practitioner - Nurse Practitioner 2668758251 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95004599CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Salada MD a Medical Corporation CurrentSince Mar 21, 2022 Accepting new patients
Dispatchhealth-Ca, PC CurrentSince Aug 16, 2024 Accepting new patients
Professional Portable Radiologic Services Inc. Past Accepting new patients
Cerebral Medical Group, a Professional Corporation PastSince Jan 21, 2022 Accepting new patients

Locations

5735 Sunrise Blvd
Citrus Hts, CA 95610

604 E Huntington Dr
Ste B
Monrovia, CA 91016

15725 Pomerado Rd
Ste 214
Poway, CA 92064
Phone (858) 312-5492

720 Carnegie Dr
Ste 140
San Bernardino, CA 92408

4719 Viewridge Ave
Ste 130
San Diego, CA 92123
Phone (303) 500-1815

140 Centennial Way
Tustin, CA 92780
Phone (706) 315-2523

Interoperability endpoints

  • Direct secure messaging: ashaw32422@sharphealthcare.direct-ci.com
  • Direct secure messaging: ashley.shaw@3194.securemail.prognocis.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1821536137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12284 SEMILLON BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921312223",
            "telephone_number": "858-692-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12284 SEMILLON BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921312223",
            "telephone_number": "858-692-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "ASHLEY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-07",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.