John Michael Allen, CPO

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

CPO1715

Practice address

711 D St Ste 108
San Rafael, CA 94901-3703

Phone

(415) 925-1333

Fax

(415) 925-1444

NPI assigned

May 4, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

• Allen Orthopedic Labs, Inc.

  • Prosthetic/Orthotic Supplier
  • San Rafael, CA
  • NPI 1407877335
  NPD

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1164005336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 D ST STE 108",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013703",
            "telephone_number": "415-925-1333",
            "fax_number": "415-925-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 D ST STE 108",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013703",
            "telephone_number": "415-925-1333",
            "fax_number": "415-925-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": "CPO1715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali Vogt Psychotherapy: a Marriage and Family Therapist Corporation
• John Lawrence Alioto
• Allen Orthopedic Labs, Inc.
• Iris Allen-Willis
• Amber Renee Allen
• Leslie Allen
• Richard A Allen, D.C.
• Lauren Anee Alpen
• Geraldine Alpert, PSYCHOLOGIST
• Paul F. Alpert, MD

• Orthotist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Orthotist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.