Kirk Robert Allen, DPM
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Monterry, CA
NPI 1265468409 · NPPES record last updated Jul 3, 2013
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Jan 20, 2016.
Key facts
- NPI
- 1265468409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- E19230 (CA)
- Practice address
- 1011 Cass Street
Suite 102
Monterry, CA 93940-4518 - Phone
- (831) 373-2991
- Fax
- (831) 373-6630
- NPI assigned
- Jun 22, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E1923 | CA | MD | Podiatrist |
| E19230 | CA | MD | Foot & Ankle Surgery Podiatrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E1923 | CA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E19230 | CA | Yes |
Addresses
Primary practice location
1011 Cass Street
Suite 102
Monterry, CA 93940-4518
Mailing address
1011 Cass Street
Suite 102
Monterry, CA 93940-4518
Phone (831) 373-2991
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E19230 | Medicaid | CA |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- OIG LEIE (HHS Office of Inspector General).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.