Elizabeth Ashley Black
MD | Pediatric Nephrology | Female
Elizabeth Ashley Black, MD is a Clovis, California based Pediatric doctor with medical specialization in
Pediatric Nephrology.
Current practice location of Elizabeth Ashley Black is
726 N Medical Center Dr E Ste 209, Clovis, California - 93611-6886. She can be contacted on phone at
559-325-5656 and fax number 559-325-5568.
Elizabeth Ashley Black is a sole proprietor of her business.
NPI number (Unique professional ID) for Elizabeth Ashley Black is
1043697113 which was assigned by NPPES on 28 Apr, 2015 and it was last updated on 05 Aug, 2021.
Elizabeth Ashley Black license number is
A151555 for Pediatrics Pediatric Nephrology (2080P0210X) in California.
Elizabeth Ashley Black deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Complete Profile:
Elizabeth Ashley Black basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Nephrology |
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| Provider Name : | Elizabeth Ashley Black |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Elizabeth Ashley Black address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 726 N Medical Center Dr E Ste 209
Clovis, CA, 93611-6886
United States |
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| Phone Number : | 559-325-5656 |
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| Fax Number : | 559-325-5568 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1043697113 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 28 Apr, 2015 |
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| Last Updated On : | 05 Aug, 2021 |
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Medicare Participation:
Elizabeth Ashley Black participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 7517212467 |
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| Medicare Enrollment ID : | I20210818003484 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 2015 |
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| Accepts Medicare? | Yes. Elizabeth Ashley Black accepts medicare insurance. |
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Group Practice Association:
Elizabeth Ashley Black is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Elizabeth Ashley Black is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Ucsf Medical Group Business Services | 3779497870 | 999 | 400 Parnassus Ave
San Francisco, CA - 941432202 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Elizabeth Ashley Black are as mentioned. Primary taxonomy code for Elizabeth Ashley Black, MD is
2080P0210X (Pediatrics Pediatric Nephrology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | No | A151555 | CA |
| 2080B0002X | Pediatrics Obesity Medicine | No | A151555 | CA |
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | |
| 2080P0210X | Pediatrics Pediatric Nephrology | Yes | A151555 | CA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2625 E Divisadero St
Fresno, CA, 93721-1431
United States |
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| Phone Number : | 559-443-2682 |
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| Fax Number : | 559-443-2681 |
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Business Location:
Patients can refer following map for directions to
Elizabeth Ashley Black practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.