Ashley Magovern, MD Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

A103514 Issued in CA

Legal business name

ASHLEY MAGOVERN, MD INC

Practice address

400 S Sepulveda Blvd
Suite 205
Manhattan Beach, CA 90266-6814

Phone

(310) 546-1188

NPI assigned

May 16, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Ashley Magovern, M.D.NPI 1770761207

Title

President/Owner

Phone

(310) 546-1188

Specialties & licenses 1

Addresses

Other names 1

• Manhattan Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Fowler Magovern, M.D.

  • Dermatology Physician
  • Manhattan Beach, CA
  • NPI 1770761207

  CA

  Medicare reassignment Care Compare group Authorized official
• Courtney Phillips, M.D.

  • Dermatology Physician
  • Los Angeles, CA
  • NPI 1215370960

  CA

  Medicare reassignment Care Compare group NPD
• Jacquelyn Tran, M.S., PA-C

  • Physician Assistant
  • Manhattan Beach, CA
  • NPI 1366798027

  CA

  Medicare reassignment Care Compare group NPD
• Angelyn Lennertz England

  • Physician Assistant
  • Manhattan Beach, CA
  • NPI 1093757742

  CA

  Medicare reassignment Care Compare group
• Lauren Kerscher, PA-C

  • Physician Assistant
  • Manhattan Beach, CA
  • NPI 1780931162

  CA

  Medicare reassignment Care Compare group
• Malcolm Ke, MD

  • Dermatology Physician
  • Torrance, CA
  • NPI 1245269984

  CA

  Medicare reassignment NPD
• Sarah Lobb, PA-C

  • Physician Assistant
  • Manhattan Beach, CA
  • NPI 1588476352
  NPD
• Ardeshir Edward Nadimi, M.D.

  • MOHS-Micrographic Surgery Physician
  • Los Angeles, CA
  • NPI 1992190417
  NPD (past)
• Rachel Robbins, PA-C

  • Physician Assistant
  • Manhattan Beach, CA
  • NPI 1831083492
  NPD (past)

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1912290503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S SEPULVEDA BLVD",
            "address_2": "SUITE 205",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666814",
            "telephone_number": "310-546-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S SEPULVEDA BLVD",
            "address_2": "SUITE 205",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666814",
            "telephone_number": "310-546-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLEY MAGOVERN, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "MAGOVERN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "310-546-1188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A103514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manhattan Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arcadia Hospitalist Medical Group
• Jeremy Scott Argo, LCSW
• Around the Clock 4 ABA
• Around the Clock Home Service
• Alp Aryan, DDS
• Alison Joan Atkinson, PMHNP
• Jenny C. Au
• David L Austin, MD
• Azita Tabassian Chiropractic Inc.
• Jennifer Lee Baars, MD

• All providers in Manhattan Beach, CA
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.