Richard L. Fassett, M.D., Inc. Joseph E. Allen, M.D., Inc.

Primary specialty

ContractorTaxonomy code 171W00000X

License

A774760 Issued in CA

Legal business name

RICHARD L. FASSETT, M.D., INC. JOSEPH E. ALLEN, M.D., INC.

Practice address

4116 W Point Loma Blvd
San Diego, CA 92110-5605

Phone

(619) 225-1212

Fax

(619) 225-1726

NPI assigned

Aug 5, 2007

Organization subpart

No

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

Authorized official

Name

Joseph E. Allen, M.D.

Title

Physician/Partner

Phone

(619) 225-1212

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1184815292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4116 W POINT LOMA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105605",
            "telephone_number": "619-225-1212",
            "fax_number": "619-225-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4116 W POINT LOMA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105605",
            "telephone_number": "619-225-1212",
            "fax_number": "619-225-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD L. FASSETT, M.D., INC. JOSEPH E. ALLEN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PHYSICIAN/PARTNER",
        "authorized_official_telephone_number": "619-225-1212",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": "CA",
            "license": "A774760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "josephallen@fam.allscriptsdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4116 W. Point Loma Blvd.",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921105605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Contractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Contractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.