Individual provider Active NPI

Ryan Allen, DO

  • Family Medicine Physician
  • Santa Maria, CA
National Provider Identifier
1265417752
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A6685 Issued in CA
Practice address
2342 Professional Pkwy
Suite 260
Santa Maria, CA 93455-1629
Phone
(805) 348-3910
Fax
(805) 348-3901
NPI assigned
Dec 7, 2005
Last updated
Jan 30, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

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 20A6685 CA Primary

Addresses

Primary practice location

2342 Professional Pkwy
Suite 260
Santa Maria, CA 93455-1629

Mailing address

2342 Professional Pkwy
Suite 260
Santa Maria, CA 93455-1629
Phone (805) 348-3910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070219000821 CA Practitioner - Family Practice 0143278150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2342 Professional Pkwy
Suite 260
Santa Maria, CA 93455-6820
Phone (805) 348-3910

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
16.44 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
54.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions34
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy30

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A6685CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jason Hunt, D.C., P.a. PastSince Jun 16, 2003 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422576000000",
    "number": "1265417752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2342 PROFESSIONAL PKWY",
            "address_2": "SUITE 260",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551629",
            "telephone_number": "805-348-3910",
            "fax_number": "805-348-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2342 PROFESSIONAL PKWY",
            "address_2": "SUITE 260",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551629",
            "telephone_number": "805-348-3910",
            "fax_number": "805-348-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2015-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.