Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ashley E Gaboury

Individual provider Physician Assistant · NPI 1699405456

Ashley E Gaboury is a Physician Assistant in Lake Elsinore, California. Qualified in 2022, 4 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
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Practice location Address checks out

53097 Memorial St
Lake Elsinore, CA 92532-1571
Phone: (626) 710-0034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 61511 (CA)

Record details

NPI number1699405456
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 14, 2022
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026
Mailing address53097 Memorial St, Lake Elsinore, CA 92532-1571

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lake Elsinore