Individual provider Active NPI

Robin Andrew Alleyne, MD.

  • Internal Medicine Physician
  • Atascadero, CA
National Provider Identifier
1114957941
Registry record updated Jun 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C51874 Issued in CA
Practice address
7512 Morro Rd
Atascadero, CA 93422-4404
Phone
(805) 792-1400
Fax
(805) 792-1485
NPI assigned
Jul 4, 2006
Last updated
Jun 17, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C51874 CA Primary

Addresses

Primary practice location

7512 Morro Rd
Atascadero, CA 93422-4404

Mailing address

8510 Balboa Blvd
Ste 150
Northridge, CA 91325-5810
Phone (818) 637-2000

Other identifiers 5

IdentifierTypeStateIssuer
1275550295OtherCAPTAN: TEMPLETON BG280Y NPI#
BG280YOtherCAPTAN: TEMPLETON
W1508AOtherCAMEDICARE GROUP'S PTAN TEMPLETON
FHC70593FMedicaidCA
W1508COtherCAMEDICARE GROUP'S PTAN-ATASCADERO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050331001274 CA Practitioner - Family PracticePractitioner - Internal Medicine 0446207591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westside Family Health CenterGroup PAC ID 5698667749, 7 clinicians

Practice addresses (Care Compare)

3861 Sepulveda Blvd
Culver City, CA 90230-4605
Phone (310) 450-4772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C51874CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robin Alleyne MD Inc Internal Medicine Current Accepting new patients
Westside Family Health Center CurrentSince Jan 3, 2023 Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients
Clinica Familiar San Lucas PastSince Jan 23, 2017 Accepting new patients
Lakeside Medical Associates, a Medical Group, Inc. Internal Medicine PastSince Apr 18, 2016 Accepting new patients

Locations

3861 Sepulveda Blvd
Culver City, CA 90230
Phone (310) 450-2191

1711 Ocean Park Blvd
Santa Monica, CA 90405
Phone (310) 450-2191

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: robin.alleyne.p1@direct.lakeside.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466121600000",
    "number": "1114957941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8510 BALBOA BLVD",
            "address_2": "STE 150",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913255810",
            "telephone_number": "818-637-2000",
            "fax_number": "818-654-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7512 MORRO RD",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934224404",
            "telephone_number": "805-792-1400",
            "fax_number": "805-792-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEYNE",
        "first_name": "ROBIN",
        "middle_name": "ANDREW",
        "credential": "MD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2016-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C51874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN: TEMPLETON BG280Y   NPI#",
            "identifier": "1275550295",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN: TEMPLETON",
            "identifier": "BG280Y",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP'S PTAN   TEMPLETON",
            "identifier": "W1508A",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70593F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP'S PTAN-ATASCADERO",
            "identifier": "W1508C",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atascadero, CA

Sources for this page

Verify at the official NPI Registry.