Individual provider Active NPI

Allen Markovic, PA-C

  • Physician Assistant
  • Sacramento, CA
National Provider Identifier
1184015182
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA54387 Issued in CA
Practice address
3301 C St Ste 1300
Sacramento, CA 95816-3370
Phone
(916) 734-6111
NPI assigned
Feb 11, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA0004463 CO
Physician Assistant 363A00000X PA1587 NV
Physician Assistant 363A00000X PA54387 CA Primary

Addresses

Primary practice location

3301 C St Ste 1300
Sacramento, CA 95816-3370

Mailing address

3105 Cedar Ravine Rd
Ste 201
Placerville, CA 95667-6561
Phone (530) 626-1602

Other practice location 1

499 E Hampden Ave
Suite 450
Englewood, CO 80113-2780
Phone (303) 756-7546

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190311000535 CA Practitioner - Physician Assistant 9032412143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Oak Dermatology IncGroup PAC ID 0143587394, 4 clinicians

Practice addresses (Care Compare)

258 Gibson Dr
Suite 140
Roseville, CA 95678-5882
Phone (916) 755-0077

Merit-based Incentive Payment System (MIPS)

Final score
84.22 of 100Reported as group
Quality
86.59
Improvement activities
40
Cost
65.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA54387CAMDPhysician Assistant
PA0004463COMDPhysician Assistant
PA1587NVMDPhysician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1184015182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 CEDAR RAVINE RD",
            "address_2": "STE 201",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956676561",
            "telephone_number": "530-626-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 C ST STE 1300",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163370",
            "telephone_number": "916-734-6111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "499 E Hampden Ave",
            "address_2": "Suite 450",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801132780",
            "country_code": "US",
            "telephone_number": "303-756-7546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARKOVIC",
        "first_name": "ALLEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-11",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA0004463",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1587",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA54387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.