Individual provider Active NPI

Ashley Maru, M.D.

  • Diagnostic Radiology Physician
  • El Segundo, CA
National Provider Identifier
1942370580
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME107580 Issued in FL
Practice address
2330 Utah Ave Ste 200
El Segundo, CA 90245-4817
Phone
(281) 766-0959
NPI assigned
Nov 9, 2006
Last updated
Jan 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 058284 GA
Diagnostic Radiology Physician 2085R0202X ME107580 FL Primary

Addresses

Primary practice location

2330 Utah Ave Ste 200
El Segundo, CA 90245-4817

Mailing address

2700 University Square Dr
Radiology Associates of Tampa
Tampa, FL 33612-5513
Phone (813) 253-2721

Other identifiers 1

IdentifierTypeStateIssuer
058284OtherGALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110712000277 FL Practitioner - Diagnostic Radiology 2264515030 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical University of South Carolina College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Tower Imaging LLCGroup PAC ID 2860470077, 95 clinicians

Practice addresses (Care Compare)

1 Tampa General Cir
Tampa, FL 33606-3571
Phone (904) 399-5550

10689 Big Bend Rd
Riverview, FL 33579-7176
Phone (904) 399-5550

10740 Palm River Rd
Suite 310
Tampa, FL 33619-4577
Phone (904) 399-5550

1301 W Kennedy Blvd
Tampa, FL 33606-1848
Phone (904) 399-5550

2 Tampa General Cir
Tampa, FL 33606-3571
Phone (904) 399-5550

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

2700 University Square Dr
Tampa, FL 33612-5513
Phone 81325327211937

3069 Grand Pavilion Dr
Tampa, FL 33613-3757
Phone (904) 399-5550

3350 Bell Shoals Rd
Brandon, FL 33511-7637
Phone (904) 399-5550

5802 N 30TH St
Tampa, FL 33610-1469
Phone (904) 399-5550

7525 State Rd
Suite 52
Bayonet Point, FL 34667-6716
Phone (904) 399-5550

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME107580FLMDDiagnostic Radiology Physician
058284GAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Medical Technology Transfer Corporation Current Accepting new patients
University Medical Service Association Inc CurrentSince Apr 14, 2014 Accepting new patients
Medical Technology Transfer Corporation CurrentSince Dec 9, 2019 Accepting new patients
Florida Diagnostic Imaging Center Inc Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Florida Diagnostic Imaging Center Inc Diagnostic Radiology CurrentSince Jun 29, 2021 Accepting new patients
Tower Imaging LLC Diagnostic Radiology Current Accepting new patients
Tower Imaging LLC Diagnostic Radiology CurrentSince Feb 17, 2014 Accepting new patients
Tower Imaging LLC Diagnostic Radiology CurrentSince Feb 17, 2014 Accepting new patients
University Medical Service Association Inc Diagnostic Radiology CurrentSince Apr 14, 2014 Accepting new patients
University Medical Service Association Inc Current Accepting new patients
University Imaging Center, LLC Diagnostic Radiology Past Accepting new patients
University Imaging Center, LLC Diagnostic Radiology Past Accepting new patients

Locations

2330 Utah Ave
#200
El Segundo, CA 90245
Phone (281) 766-9059

3350 Bell Shoals Rd
Brandon, FL 33511
Phone (813) 654-4883

414 W Robertson St
Ste 102
Brandon, FL 33511
Phone (813) 657-6767

427 S Parsons Ave
Ste 100
Brandon, FL 33511
Phone (813) 215-2080

8375 Dix Ellis Trl
Ste 201
Jacksonville, FL 32256
Phone (904) 399-5810

17503 N Dale Mabry Hwy
Lutz, FL 33548
Phone (813) 968-4540

1800 W Hibiscus Blvd
Ste 100
Melbourne, FL 32901
Phone (321) 676-3535

2253 Heart Pine Ave
Odessa, FL 33556
Phone (813) 723-5911

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

2525 Martin Luther King Jr Blvd
Panama City, FL 32405
Phone (850) 873-6900

4511 N Davis Hwy
Ste 1B
Pensacola, FL 32503
Phone (850) 484-8454

3862 Sun City Center Blvd
Sun City Center, FL 33573
Phone (813) 642-9299

12901 Bruce B Downs Blvd
#19
Tampa, FL 33612
Phone (813) 974-1469

2 Columbia Dr
Tampa, FL 33606
Phone (813) 844-7100

2 Tampa General Cir
Fl 1
Tampa, FL 33606

2106 S Lois Ave
Tampa, FL 33629
Phone (813) 844-4200

2700 University Square Dr
Tampa, FL 33612
Phone (813) 251-5822

4325 Henderson Blvd
Tampa, FL 33629
Phone (813) 251-5858

4719 N Habana Ave
Tampa, FL 33614
Phone (813) 874-9769

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

2324 Oak Myrtle Ln
Wesley Chapel, FL 33544
Phone (813) 844-8300

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1942370580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 UNIVERSITY SQUARE DR",
            "address_2": "RADIOLOGY ASSOCIATES OF TAMPA",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336125513",
            "telephone_number": "813-253-2721",
            "fax_number": "813-254-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 UTAH AVE STE 200",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454817",
            "telephone_number": "281-766-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARU",
        "first_name": "ASHLEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "058284",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME107580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "058284",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

Verify at the official NPI Registry.