Active NPI
Ashley Mergelmeyer, PA-C
- Physician Assistant
- Mission Viejo, CA
National Provider Identifier
1902397219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA58519
- Practice address
- 26732 Crown Valley Pkwy Ste 351
Mission Viejo, CA 92691-6374 - Phone
- (949) 364-1007
- NPI assigned
- May 22, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA11954 | TX | |
| Physician Assistant | 363A00000X | PA58519 | CA | Primary |
Addresses
Primary practice location
26732 Crown Valley Pkwy Ste 351
Mission Viejo, CA 92691-6374
Mailing address
2332 Baypointe Dr
Newport Beach, CA 92660-8520
Phone (661) 373-5084
Other practice location 1
5656 Kelley St # 1Ec1347
Houston, TX 77026-1967
Phone (713) 873-2311
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58519 | CA | MD | Dentist |
| PA58519 | CA | MD | Physician Assistant |
| PA11954 | TX | MD | Physician Assistant |
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Mission Viejo, CA
- NPI 1073542916
-
- Emergency Medicine Physician
- Laguna Beach, CA
- NPI 1134355597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612224000000",
"number": "1902397219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2332 BAYPOINTE DR",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926608520",
"telephone_number": "661-373-5084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26732 CROWN VALLEY PKWY STE 351",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916374",
"telephone_number": "949-364-1007"
}
],
"practiceLocations": [
{
"address_1": "5656 Kelley St # 1Ec1347",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770261967",
"country_code": "US",
"telephone_number": "713-873-2311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERGELMEYER",
"first_name": "ASHLEY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-22",
"last_updated": "2021-02-02",
"certification_date": "2021-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA11954",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA58519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.