Active NPI
Rebecca Alleyne M.D.,Inc.
- Specialist
- Los Angeles, CA
National Provider Identifier
1225173909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A79024
- Legal business name
- REBECCA ALLEYNE M.D.,INC.
- Practice address
- 1045 Atlantic Avenue
Suite 712
Los Angeles, CA 90813 - Phone
- (562) 491-4879
- Fax
- (562) 491-7987
- NPI assigned
- Feb 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rebecca S. Alleyne, M.D.
- Title
- President
- Phone
- (562) 491-4879
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A79024 | CA | Primary |
Addresses
Primary practice location
1045 Atlantic Avenue
Suite 712
Los Angeles, CA 90813
Mailing address
1045 Atlantic Avenue
Suite 712
Los Angeles, CA 90813
Phone (562) 491-4879
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356389050 | Other | CA | NPI - PERSONAL |
| A79024 | Other | CA | LIC. PHYSICAN & SURGEON |
National Provider Directory
National Provider DirectoryLocations
1338 S Hope St
Los Angeles, CA 90015
Phone (213) 742-5634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1225173909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 ATLANTIC AVENUE",
"address_2": "SUITE 712",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90813",
"telephone_number": "562-491-4879",
"fax_number": "562-491-7987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 ATLANTIC AVENUE",
"address_2": "SUITE 712",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90813",
"telephone_number": "562-491-4879",
"fax_number": "562-491-7987"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REBECCA ALLEYNE M.D.,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ALLEYNE",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "562-491-4879",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "A79024",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI - PERSONAL",
"identifier": "1356389050",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIC. PHYSICAN & SURGEON",
"identifier": "A79024",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.