Individual provider Active NPI

Ashley Rose Etchison, MD

  • Diagnostic Radiology Physician
  • Castro Valley, CA
National Provider Identifier
1962907840
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A184419 Issued in CA
Practice address
20642 John Dr
Castro Valley, CA 94546-5103
Phone
(510) 785-5000
NPI assigned
Mar 24, 2018
Last updated
Oct 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Diagnostic Radiology Physician 2085R0202X A184419 CA Primary

Addresses

Primary practice location

20642 John Dr
Castro Valley, CA 94546-5103

Mailing address

20642 John Dr
Castro Valley, CA 94546-5103
Phone (510) 785-5000

Other practice location 1

513 Parnassus Ave
San Francisco, CA 94143-2205
Phone (706) 983-9662

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230711003324 CA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 5496004608 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Virginia Tech Carilion School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magnetic Imaging Affiliates LLCGroup PAC ID 5496066961, 43 clinicians

Practice addresses (Care Compare)

12 Camino Encinas
Orinda, CA 94563-3304
Phone (925) 296-7150

15 Bay Forest Dr
Oakland, CA 94611-1052
Phone (925) 296-7150

2001 Dwight Way
Berkeley, CA 94704-2608
Phone (510) 204-6488

20101 Lake Chabot Rd
Castro Valley, CA 94546-5305
Phone (925) 296-7150

20103 Lake Chabot Rd
Suite 103
Castro Valley, CA 94546-5305
Phone (510) 899-5052

2450 Ashby Ave
Berkeley, CA 94705-2067
Phone (510) 204-1566

300 Hospital Dr
Vallejo, CA 94589-2574
Phone (707) 554-4107

3100 Summit St
Oakland, CA 94609-3412
Phone (510) 869-8377

350 Hawthorne Ave
Oakland, CA 94609-3108
Phone (510) 869-6588

3901 Lone Tree Way
Antioch, CA 94509-6200
Phone (925) 779-7212

5730 Telegraph Ave
Oakland, CA 94609-1710
Phone (510) 204-2744

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A184419CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group CurrentSince Jun 1, 2023 Accepting new patients
University of California SFGH Medical Group Diagnostic Radiology Current Accepting new patients
Stanford Health Care Diagnostic Radiology CurrentSince May 28, 2024 Accepting new patients
University of California San Francisco Diagnostic Radiology CurrentSince Jun 30, 2023 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 30, 2023 Accepting new patients
University of California SFGH Medical Group CurrentSince Jun 1, 2023 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology Current Accepting new patients
LPCH Medical Group Div of Lucile CurrentSince May 28, 2024 Accepting new patients
Stanford Health Care Diagnostic Radiology Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 30, 2023 Accepting new patients
Magnetic Imaging Affiliates, LLC Diagnostic Radiology CurrentSince Aug 25, 2024 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Aug 25, 2024 Accepting new patients
University of California San Francisco CurrentSince Jun 30, 2023 Accepting new patients
Stanford Health Care CurrentSince May 28, 2024 Accepting new patients
University Healthcare Alliance CurrentSince Jul 5, 2024 Accepting new patients
University of California San Francisco Current Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Aug 25, 2024 Accepting new patients

Locations

3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020

50 E Hamilton Ave
Ste 280
Campbell, CA 95008
Phone (408) 227-2646

20642 John Dr
Castro Valley, CA 94546
Phone (510) 581-2559

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

3100 Summit St
Oakland, CA 94609
Phone (510) 869-8377

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1001 Potrero Ave
Bldg 100
San Francisco, CA 94110
Phone (415) 476-4617

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

513 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-1239

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107

300 Hospital Dr
#1112
Vallejo, CA 94589
Phone (707) 554-4107

Organizations & group practices 17

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 17

Hospital & facility affiliations 5

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": "1521849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1962907840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20642 JOHN DR",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465103",
            "telephone_number": "510-785-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20642 JOHN DR",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465103",
            "telephone_number": "510-785-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "513 Parnassus Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941432205",
            "country_code": "US",
            "telephone_number": "706-983-9662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ETCHISON",
        "first_name": "ASHLEY",
        "middle_name": "ROSE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-24",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A184419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

Verify at the official NPI Registry.