Individual provider Active NPI

Allen James Streelman, D.O.

  • Family Medicine Physician
  • Downey, CA
National Provider Identifier
1255379582
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A3863 Issued in CA
Practice address
9040 Telegraph Rd Ste 102
Downey, CA 90240-2395
Phone
(562) 861-0954
Fax
(562) 231-1906
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A3863 CA Primary

Addresses

Primary practice location

9040 Telegraph Rd Ste 102
Downey, CA 90240-2395

Mailing address

PO Box 275
Artesia, CA 90702-0275
Phone (562) 282-4038

Other identifiers 4

IdentifierTypeStateIssuer
020A38630OtherBLUE SHIELD ID #
035425OtherHEALTH NET ID #
00AX38630MedicaidCA
010052829OtherRAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A3863CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rubin and McNamara MDS Inc Past Accepting new patients
Caremore Medical Group Family Medicine Past Accepting new patients

Organizations & group practices 2

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1255379582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 275",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907020275",
            "telephone_number": "562-282-4038",
            "fax_number": "562-977-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 TELEGRAPH RD STE 102",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902402395",
            "telephone_number": "562-861-0954",
            "fax_number": "562-231-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREELMAN",
        "first_name": "ALLEN",
        "middle_name": "JAMES",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A3863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ID #",
            "identifier": "020A38630",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET ID #",
            "identifier": "035425",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX38630",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "010052829",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.