Kenneth D Ashley, MD
Individual provider Active NPI Pediatrics Physician · Auburn, CA
NPI 1922019785 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1922019785
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- A60172 (CA)
- Practice address
- 3288 Bell Rd
Auburn, CA 95603-9243 - Phone
- (530) 886-2300
- Fax
- (530) 886-2301
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
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 |
|---|---|---|---|---|
| I20081001000121 | CA | Practitioner - Pediatric Medicine | 5193893303 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A60172 | CA | MD | Pediatrics Physician |
| 60172 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Medical Foundation | Pediatrics | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Pediatrics | Current |
Accepting new patients |
| Sutter Valley Medical Foundation | Current |
Accepting new patients | |
| Sutter North Medical Foundation | Past | Accepting new patients | |
| Sutter Valley Hospitals | Past | Accepting new patients |
Locations
3288 Bell Rd
Auburn, CA 95603
Phone (530) 886-2300
11795 Education St
Ste 100
Auburn, CA 95602
Phone (530) 886-2300
2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
Interoperability endpoints
- kashleymd18194@hisp.ehr.sutterhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A60172 | CA | Yes |
Addresses
Primary practice location
3288 Bell Rd
Auburn, CA 95603-9243
Mailing address
PO Box 255228
Sacramento, CA 95865-5228
Phone (800) 470-0071
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A601720 | Medicaid | CA |
Other providers in Auburn, CA
- Valeska Armisen
- Umaima Shabbir Arsiwala
- Todd Arvidson
- Heather Joy Asay
- Michael William Ashcraft
- Kevin David Ashley
- Kristin D Ashley
- Michelle Iannone Ashworth
- Abdul Hamid Ataie
- Dileep K Atluri
All providers in Auburn, CA · Pediatrics 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 Jul 8, 2007. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.