MEDICARE: ASHTON RUSHING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator		CA

General Provider Information

NPI Number	:	1528927191
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHTON RUSHING

Provider Business Mailing Address
First Line	:	4141 COWELL BLVD APT 5
Second Line	:
City	:	DAVIS
State	:	CA
Zip	:	95618-4362
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4141 COWELL BLVD APT 5
Second Line	:
City	:	DAVIS
State	:	CA
Zip	:	95618-4362
Country	:	US
Telephone Number	:	916-862-6563
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

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Directions to “ ASHTON RUSHING ” Practice Location

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