NPIMap

Organization Active NPI

Diego G Allende a Medical Corporation

  • Family Medicine Physician
  • Fresno, CA
National Provider Identifier
1033266184
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DIEGO G ALLENDE A MEDICAL CORPORATION
Doing business as
Diego G Allende A Medical Corporation
Practice address
6234 N 1St St
Fresno, CA 93710-5446
Phone
(559) 435-5727
Fax
(559) 435-5503
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Diego G. Allende, D.O.NPI 1568789097
Title
Owner
Phone
(559) 435-5727

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083X0100X 20A7611 CA

Addresses

Primary practice location

6234 N 1St St
Fresno, CA 93710-5446

Mailing address

6234 N 1St St
Fresno, CA 93710-5446
Phone (559) 435-5727

Other names 1

  • Diego G Allende A Medical Corporation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040713001136 CA Part B Supplier - Clinic/Group Practice 5496733594 Receives reassigned benefits from 1 practitioner
Practice locations: Fresno, CA

National Provider Directory

National Provider Directory

Locations

6234 N 1st St
Fresno, CA 93710
Phone (559) 435-5727

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512000000000",
    "number": "1033266184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6234 N 1ST ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105446",
            "telephone_number": "559-435-5727",
            "fax_number": "559-435-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6234 N 1ST ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105446",
            "telephone_number": "559-435-5727",
            "fax_number": "559-435-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIEGO G ALLENDE A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2017-11-30",
        "status": "A",
        "authorized_official_last_name": "ALLENDE",
        "authorized_official_first_name": "DIEGO",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-435-5727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "20A7611",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diego G Allende A Medical Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.