Ashley Ryan Vidad, DO
Ashley Ryan Vidad, DO is a Family Practice in Stockton, California. Qualified in 2022, 4 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth.
- Years since qualifying
- 4
- In the registry since
- 2022
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
Stockton, CANo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 1102 Lyons St, Redwood City, CA 94061-2263 — (650) 307-7903
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1689324212 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | March 26, 2022 |
| Last updated in NPPES | July 25, 2022 |
| Certification date | March 26, 2022 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Southern California Permanente Medical Group — 11242 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
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Dr. Charles Vansicklen, DDS
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