CA PHYSICIAN ASSISTANT COOPERATIVE HEALTHCARE, PC
NPI 1053145698
Physician Assistant in Inglewood, CA

Active since August 27, 2024
645 AERICK ST STE 3, INGLEWOOD, CA 90301(310) 431-4926 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ca Physician Assistant Cooperative Healthcare, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CA PHYSICIAN ASSISTANT COOPERATIVE HEALTHCARE, PC (NPI 1053145698) is a healthcare organization registered as a physician assistant in Inglewood, California and active in the NPI registry since August 2024. The organization lists Mark Ashby, President/owner, as its authorized official.

NPPES Registry Identity

NPI1053145698
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameCA PHYSICIAN ASSISTANT COOPERATIVE HEALTHCARE, PC
Location Address645 AERICK ST STE 3Inglewood, CA 90301-4884
Mailing Address645 Aerick St Ste 3Inglewood, CA 90301-4884 · (310) 431-4926
Organization SubpartNo
Authorized OfficialMark AshbyPresident/owner · (818) 968-4242
Enumeration DateAugust 27, 2024
NPPES CertifiedAugust 27, 2024
✔ NPI 1053145698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
645 AERICK ST STE 3, Inglewood, CA 90301

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ca Physician Assistant Cooperative Healthcare, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Ca Physician Assistant Cooperative Healthcare, PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1346802840
2680 SATURN AVE
Huntington Park, CA 90255
(323) 908-4200
✔ PECOS✔ Accepts Medicare7.1 mi
Diagnostic Radiology
NPI 1316065683
11718 BARRINGTON CT APT 701
Los Angeles, CA 90049
(818) 722-3332
✔ PECOS9.9 mi
Orthopedic Surgery
NPI 1093934374
1485 SPRUCE ST SUITE Q
Riverside, CA 92507
(951) 680-0066
✔ PECOS58 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ca Physician Assistant Cooperative Healthcare, PC's NPI number?

The NPI number for Ca Physician Assistant Cooperative Healthcare, PC is 1053145698. It was assigned to this organization in the NPPES registry on August 27, 2024.

Where is Ca Physician Assistant Cooperative Healthcare, PC located?

Ca Physician Assistant Cooperative Healthcare, PC is located at 645 Aerick St Ste 3, Inglewood, CA 90301. The listed phone number is (310) 431-4926.

What is Ca Physician Assistant Cooperative Healthcare, PC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ca Physician Assistant Cooperative Healthcare, PC enrolled in Medicare?

Yes. Ca Physician Assistant Cooperative Healthcare, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ca Physician Assistant Cooperative Healthcare, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Ca Physician Assistant Cooperative Healthcare, PC, in Diagnostic Radiology, Nurse Practitioner and Orthopedic Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ca Physician Assistant Cooperative Healthcare, PC was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.