MANHATTAN DERMATOLOGY
NPI 1912290503
Clinic/Center - Medical Specialty in Manhattan Beach, CA

Active since May 16, 2011
400 S SEPULVEDA BLVD, SUITE 205, MANHATTAN BEACH, CA 90266(310) 546-1188 Get Directions Write a Review

NPPES record last updated: May 16, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Manhattan Dermatology NPPES

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

MANHATTAN DERMATOLOGY (NPI 1912290503) is a healthcare organization registered as a medical specialty in Manhattan Beach, California and active in the NPI registry since May 2011. The organization lists Ashley Magovern, President/owner, as its authorized official.

NPPES Registry Identity

NPI1912290503
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameASHLEY MAGOVERN, MD INC
Location Address400 S SEPULVEDA BLVD, SUITE 205Manhattan Beach, CA 90266-6814
Mailing Address400 S Sepulveda Blvd, Suite 205Manhattan Beach, CA 90266-6814 · (310) 546-1188
Organization SubpartNo
Authorized OfficialAshley MagovernPresident/owner · (310) 546-1188
Enumeration DateMay 16, 2011
✔ NPI 1912290503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in CA · A103514
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
400 S SEPULVEDA BLVD, Manhattan Beach, CA 90266

Other Names 1

Doing Business AsManhattan Dermatology

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manhattan Dermatology 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 Manhattan Dermatology, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Dermatology
NPI 1770761207
400 S SEPULVEDA BLVD SUITE 205
Manhattan Beach, CA 90266
(310) 546-1188
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1245269984
23456 HAWTHORNE BLVD STE 100
Torrance, CA 90505
(310) 540-5272
✔ PECOS✔ Accepts Medicare5.1 mi
Dermatology
NPI 1215370960
1200 N STATE ST # 3250
Los Angeles, CA 90033
(323) 226-3372
✔ PECOS✔ Accepts Medicare17 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 Ashley Magovern, MD Inc's NPI number?

The NPI number for Ashley Magovern, MD Inc is 1912290503. It was assigned to this organization in the NPPES registry on May 16, 2011. The provider is doing business as Manhattan Dermatology.

Where is Ashley Magovern, MD Inc located?

Ashley Magovern, MD Inc is located at 400 S Sepulveda Blvd Suite 205, Manhattan Beach, CA 90266. The listed phone number is (310) 546-1188.

What is Ashley Magovern, MD Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Ashley Magovern, MD Inc enrolled in Medicare?

Yes. Ashley Magovern, MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ashley Magovern, MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Dermatology, reassign their Medicare billing to Ashley Magovern, MD Inc. 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, 1 practice at this address and 2 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 Ashley Magovern, MD Inc was last updated on May 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.