Mazer Ricky Ally, M.D.
Individual provider Active NPI Gastroenterology Physician · Oceanside, CA
NPI 1902018666 · NPPES record last updated Oct 13, 2021
Key facts
- NPI
- 1902018666
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- A146924 (CA)
- Practice address
- 2205 Vista Way Ste 340
Oceanside, CA 92054-5661 - Phone
- (760) 704-5870
- Fax
- (760) 404-1821
- NPI assigned
- May 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 18
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- George Washington University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Scripps Health
Practice addresses (Care Compare)
2205 Vista Way
Oceanside, CA 92054-5661
Phone (858) 554-9100
Hospital & facility affiliations
- Scripps Memorial Hospital la Jolla
- Scripps Memorial Hospital - Encinitas
- Scripps Green Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 136 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 136 |
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 |
|---|---|---|---|---|
| I20170215001341 | CA | Practitioner - Gastroenterology | 8729226279 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A146924 | CA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Medical Doctors | Current |
Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Current |
Accepting new patients | |
| Straub Clinic & Hospital | Current |
Accepting new patients | |
| United Medical Doctors | Gastroenterology | Current |
Accepting new patients |
| Straub Clinic & Hospital | Current |
Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Internal Medicine | Current |
Accepting new patients |
| Scripps Health | Past | Accepting new patients | |
| Scripps Clinic Medical Group | Past | Accepting new patients | |
| Scripps Health | Past | Accepting new patients |
Locations
2083 Compton Ave
Ste 104
Corona, CA 92881
Phone (951) 256-8191
521 E Elder St
Ste 104
Fallbrook, CA 92028
Phone (760) 728-9560
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
File 54433
Los Angeles, CA 90074
Phone (858) 784-5645
40663 Murrieta Hot Springs Rd
Ste C1
Murrieta, CA 92562
Phone (951) 200-6791
28078 Baxter Rd
Ste 530
Murrieta, CA 92563
Phone (951) 290-5472
400 Newport Center Dr
Ste 609
Newport Beach, CA 92660
Phone (949) 760-0398
2205 Vista Way
Ste 340
Oceanside, CA 92054
Phone (760) 704-5870
2205 Vista Way
Oceanside, CA 92054
Phone (760) 704-5400
10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626
31170 Temecula Pkwy
Ste 100
Temecula, CA 92592
Phone (951) 698-6090
888 S King St
Honolulu, HI 96813
Phone (808) 522-4000
1946 Young St
Ste 320
Honolulu, HI 96826
Interoperability endpoints
- mally181815@direct.llu.edu
- https://api.platform.athenahealth.com/9170/brand/1/csg/1/fhir/r4
- mally43070@scrippshlth.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A146924 | CA | Yes |
Addresses
Primary practice location
2205 Vista Way Ste 340
Oceanside, CA 92054-5661
Mailing address
10790 Rancho Bernardo Rd
San Diego, CA 92127-5705
Phone (760) 704-5870
Other providers in Oceanside, CA
- William Michael Allen
- Heather Deanne Allenby
- Neville Alleyne
- Aaron Allon
- Mary Nicole Alltop
- Catherine Marie Almanza
- Helenie Sanne Reyes Alminar
- Frederick David Alpern
- Alpida Pharmaceutical Inc
- Alpida Pharmaceutical Inc
All providers in Oceanside, CA · Gastroenterology 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 Oct 13, 2021. 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.