ASHLEY JENNIFER ENNEDY DO NPI 1861908386

NPI Information

  • NPI: 1861908386
  • Provider Name: ASHLEY JENNIFER ENNEDY, DO
  • Classification: Preventive Medicine - 2083X0100X
  • Specialization: Occupational Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10243 GENETIC CENTER DR
    SAN DIEGO, CA
    ZIP 92121
  • Phone: (858) 499-2600

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NPI Details

Ashley Jennifer Ennedy, DO is an occupational medicine preventive medicine in San Diego, CA. The provider is occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. Ashley Jennifer Ennedy, DO NPI is 1861908386. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10243 GENETIC CENTER DR
SAN DIEGO, CA
ZIP 92121-310
Phone: (858) 499-2600

The NPI 1861908386 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Coronavirus vaccine 13 (HCPCS:91312)
  • Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted, for intramuscular use (HCPCS:91300)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Coronavirus vaccine 14 (HCPCS:91313)

The enumeration date for this NPI number is 12/19/2017 and was last updated on 6/5/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12083X0100XPreventive MedicineOccupational Medicine20A17045CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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