Allen Jay, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A39085 Issued in CA

Practice address

27001 Moulton Pkwy
# 103
Laguna Hills, CA 92656-3600

Phone

(949) 362-4560

Fax

(949) 362-5521

NPI assigned

Dec 12, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1255609780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27001 MOULTON PKWY",
            "address_2": "# 103",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926563600",
            "telephone_number": "949-362-4560",
            "fax_number": "949-362-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27001 MOULTON PKWY",
            "address_2": "# 103",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926563600",
            "telephone_number": "949-362-4560",
            "fax_number": "949-362-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAY",
        "first_name": "ALLEN",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-12",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A39085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A39085",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Jaramillo
• Mark Jason, M.D
• Mahnaz Javadiaghdam
• Manijeh Javaheri, M.D.
• Amanda Jaworski, LCSW
• Kimberly Lynn Jbeili
• JC & DC Incorporated
• Erin Kathleen Jechart
• Edward W.B. Jeffes III, M.D.
• Jennifer Channual MD Inc

• Internal Medicine Physician in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.