ASHLEY M BLAYTON CPNP
NPI 1871058636
Nurse Practitioner - Pediatrics in San Dimas, CA
About Ashley M Blayton Cpnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ASHLEY M BLAYTON CPNP (NPI 1871058636) is an individual pediatrics provider in San Dimas, California, licensed in California (95011028) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ashley M Blayton Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Ashley Blayton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baldwin Park, CA 91706
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Atlanta, GA 30309
- Reassigned Medicare billing, Georgia enrollment
- 108 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91773 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIMAS, CA 91773
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 Ashley Blayton's NPI number?
The NPI number for Ashley Blayton is 1871058636. It was assigned to this individual provider in the NPPES registry on February 6, 2019.
Where is Ashley Blayton located?
Ashley Blayton practices at 1330 W Covina Blvd Ste 106, San Dimas, CA 91773. The listed phone number is (909) 599-6876.
What is Ashley Blayton's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Ashley Blayton enrolled in Medicare?
Yes. Ashley Blayton is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Ashley Blayton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Blayton reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (Baldwin Park, CA) and Medcura Health, Inc. (Atlanta, GA). Each 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 Ashley Blayton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ashley Blayton was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ashley M Blayton, CPNP · NPI 1871058636
Pediatrics physician in San Dimas, California. Individual provider, active in the CMS NPPES registry since February 6, 2019.
## Identity
- **NPI:** 1871058636 (Entity type: Individual)
- **Enumerated:** February 6, 2019
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 95011028 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1330 W COVINA BLVD STE 106, San Dimas, CA 91773-3200
- **Phone:** (909) 599-6876
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Southern California Permanente Medical Group (NPI 1770515280, Baldwin Park, CA); Medcura Health, Inc. (NPI 1023537321, Atlanta, GA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 26, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1871058636) · Data from the CMS NPPES public registry.