Organization Active NPI

Rebecca Alleyne M.D.,Inc.

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1225173909
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A79024 Issued in CA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1356389050OtherCANPI - PERSONAL
A79024OtherCALIC. PHYSICAN & SURGEON

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.