Individual provider Active NPI

Ashok Nath, M.D.,

  • Nephrology Physician
  • San Bernardino, CA
National Provider Identifier
1992951115
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A128657 Issued in CA
Practice address
401 E Highland Ave Ste 551
San Bernardino, CA 92404-3840
Phone
(909) 882-9150
Fax
(909) 883-8972
NPI assigned
Aug 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A128657 CA Primary

Addresses

Primary practice location

401 E Highland Ave Ste 551
San Bernardino, CA 92404-3840

Mailing address

3660 Park Sierra Dr Ste 203
Riverside, CA 92505-3071
Phone (951) 687-3400

Other practice location 1

264 N Highland Springs Ave
Banning, CA 92220-3082
Phone (951) 769-9776

Other names 1

  • Dr. Ashok Kumar Ananthasayanan Former name

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
I20140609001845 CA Practitioner - Nephrology 9133300197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates Medical Group IncGroup PAC ID 5092604447, 64 clinicians

Practice addresses (Care Compare)

3989 W Stetson Ave
Suite 202
Hemet, CA 92545-9697
Phone (951) 652-3558

Hospital & facility affiliations

  • DaVita Redlands Dialysis Dialysis facility, Redlands, CA, CCN 552578
  • DaVita San Bernardino Home Training Dialysis facility, San Bernardino, CA, CCN 552776
  • DaVita Serrano Dialysis Dialysis facility, San Bernardino, CA, CCN 552830
  • DaVita Diamond Valley Dialysis Center Dialysis facility, San Jacinto, CA, CCN 052768
  • St Bernardine Medical Center Hospital, San Bernardino, CA, CCN 050129
  • Redlands Community Hospital Hospital, Redlands, CA, CCN 050272
  • Community Hospital of San Bernardino Hospital, San Bernardino, CA, CCN 050089
  • San Gorgonio Memorial Hospital Hospital, Banning, CA, CCN 050054
  • Loma Linda University Medical Center Hospital, Loma Linda, CA, CCN 050327

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A128657CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates Medical Group Inc Nephrology CurrentSince Jul 14, 2014 Accepting new patients
Hemet Valley Medical Center Past Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients
Eisenhower Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
San Gorgonio Memorial Hospital Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients
Menifee Valley Medical Center Past Accepting new patients
Nephrology Associates Medical Group, Inc. PastSince Aug 15, 2021 Accepting new patients
Medina Hospital Past Accepting new patients
HMH Hospitals Corporation Past Accepting new patients

Locations

264 N Highland Springs Ave
Ste 3B
Banning, CA 92220
Phone (951) 769-9776

3989 W Stetson Ave
Ste 202
Hemet, CA 92545
Phone (951) 652-3558

7223 Church St
Ste A20
Highland, CA 92346
Phone (909) 381-3900

29878 Haun Rd
Ste 200
Menifee, CA 92586
Phone (951) 672-7967

3660 Park Sierra Dr
Ste 208
Riverside, CA 92505
Phone (951) 687-2800

3660 Park Sierra Dr
Ste 203
Riverside, CA 92505
Phone (951) 687-3400

401 E Highland Ave
Ste 551
Sn Bernrdno, CA 92404
Phone (909) 882-1759

27851 Bradley Rd
Ste 125
Sun City, CA 92586
Phone (951) 672-4829

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ashok.nath.1@19859.direct.athenahealth.com
  • Direct secure messaging: anath181745@direct.llu.edu

Organizations & group practices 12

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.

Hospital & facility affiliations 9

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": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1992951115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 PARK SIERRA DR STE 203",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053071",
            "telephone_number": "951-687-3400",
            "fax_number": "951-687-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E HIGHLAND AVE STE 551",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043840",
            "telephone_number": "909-882-9150",
            "fax_number": "909-883-8972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "264 N Highland Springs Ave",
            "address_purpose": "LOCATION",
            "city": "Banning",
            "state": "CA",
            "postal_code": "922203082",
            "country_code": "US",
            "telephone_number": "951-769-9776",
            "fax_number": "951-769-9026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NATH",
        "first_name": "ASHOK",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-08",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A128657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHOK",
            "last_name": "ANANTHASAYANAN",
            "middle_name": "KUMAR",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.