Active NPI
Mazer Ricky Ally, M.D.
- Gastroenterology Physician
- Oceanside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- A146924
- Practice address
- 2205 Vista Way Ste 340
Oceanside, CA 92054-5661 - Phone
- (760) 704-5870
- Fax
- (760) 404-1821
- NPI assigned
- May 4, 2007
- Last updated
- Oct 13, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A146924 | CA | Primary |
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
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- 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
Practice addresses (Care Compare)
2205 Vista Way
Oceanside, CA 92054-5661
Phone (858) 554-9100
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 136 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 136 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- 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 | Internal Medicine | Current | Accepting new patients |
| Straub Clinic & Hospital | Current | Accepting new patients | |
| Straub Clinic & Hospital | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| United Medical Doctors | Gastroenterology | Current | Accepting new patients |
| Scripps Health | Current | Accepting new patients | |
| Scripps Clinic Medical Group | Past | Accepting new patients | |
| Scripps Health | 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
28078 Baxter Rd
Ste 530
Murrieta, CA 92563
Phone (951) 290-5472
40663 Murrieta Hot Springs Rd
Ste C1
Murrieta, CA 92562
Phone (951) 200-6791
400 Newport Center Dr
Ste 609
Newport Beach, CA 92660
Phone (949) 760-0398
2205 Vista Way
Oceanside, CA 92054
Phone (760) 704-5400
2205 Vista Way
Ste 340
Oceanside, CA 92054
Phone (760) 704-5870
10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626
31170 Temecula Pkwy
Ste 100
Temecula, CA 92592
Phone (951) 698-6090
1946 Young St
Ste 320
Honolulu, HI 96826
888 S King St
Honolulu, HI 96813
Phone (808) 522-4000
Interoperability endpoints
- https://api.platform.athenahealth.com/9170/brand/1/csg/1/fhir/r4
- mally181815@direct.llu.edu
- mally43070@scrippshlth.medalliesdirect.net
Organizations & group practices 11
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.
-
dba Scripps Clinic
- Multi-Specialty Clinic/Center
- La Jolla, CA
- NPI 1275899072
Internal Medicine
-
- Gastroenterology Physician
- Murrieta, CA
- NPI 1770559981
-
dba Scripps Hospital Medical Services
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
dba Scripps Home Health Care Services
- Home Health Agency
- San Diego, CA
- NPI 1578556114
-
dba Scripps Memorial Hospital La Jolla
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
-
- Orthopaedic Surgery Physician
- San Diego, CA
- NPI 1194554675
-
dba Hawaii Pacific Health Specialty Pharmacy
- Community/Retail Pharmacy
- Honolulu, HI
- NPI 1295443216
-
dba Straub Benioff Medical Center
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1457306508
-
- Multi-Specialty Clinic/Center
- San Diego, CA
- NPI 1124003280
-
- Clinical Medical Laboratory
- La Jolla, CA
- NPI 1427034990
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Scripps Memorial Hospital Encinitas
- General Acute Care Hospital
- Encinitas, CA
- NPI 1700829199
-
dba Scripps Memorial Hospital La Jolla
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634083200000",
"number": "1902018666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10790 RANCHO BERNARDO RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921275705",
"telephone_number": "760-704-5870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2205 VISTA WAY STE 340",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920545661",
"telephone_number": "760-704-5870",
"fax_number": "760-404-1821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLY",
"first_name": "MAZER",
"middle_name": "RICKY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-04",
"last_updated": "2021-10-13",
"certification_date": "2021-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A146924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.