Genevieve Ashcom King, M. D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A69755 Issued in CA

Practice address

3636 Castro Valley Blvd
# 10
Castro Valley, CA 94546-4460

Phone

(510) 586-0284

Fax

(510) 397-2075

NPI assigned

Nov 7, 2006

Last updated

Feb 27, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Genevieve Susanne Ashcom Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2015 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Active Life Medical Center

  • Chiropractor
  • Redwood City, CA
  • NPI 1639392798
  NPD (past)
• Advanced DME LLC

  • Durable Medical Equipment & Medical Supplies
  • San Jose, CA
  • NPI 1962083733
  NPD (past)
• Coyle Chiropractic Corp.

  • Chiropractor
  • San Jose, CA
  • NPI 1811916000
  NPD (past)
• Santa Cruz Medical Clinic, Inc

  dba Santa Cruz Medical Clinic

  • Family Medicine Physician
  • Santa Cruz, CA
  • NPI 1588775308
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1861561243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21129 DAWE AVE",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465755",
            "telephone_number": "510-586-0284",
            "fax_number": "510-397-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 CASTRO VALLEY BLVD",
            "address_2": "# 10",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464460",
            "telephone_number": "510-586-0284",
            "fax_number": "510-397-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "GENEVIEVE",
        "middle_name": "ASHCOM",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A69755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENEVIEVE",
            "last_name": "ASHCOM",
            "middle_name": "SUSANNE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kwang Hyeon Kim
• Jennifer Christine Kimball, PT
• Leah Kimble-Price, MS, LMFT
• Alexis King-Gallman, LCSW
• David Christian King, PA-C, MPA
• Kiran Khemani, DDS, Inc (Valley View Dental)
• Suzanne Leilani Kirby, OTR
• Jamaal E Kizziee, LMFT
• Jacqueline Rose Klippenes, LMFT
• Donald Richard Knotts, MEDICAL DOCTOR

• Family Medicine Physician in Castro Valley, CA
• Providers in Castro Valley, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.