Active NPI
Allen Martin Phelps, PA-C, MPAS
- Physician Assistant
- Temecula, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1056661
- Practice address
- 41715 Winchester Rd Ste 101
Temecula, CA 92590-4853 - Phone
- (951) 308-4451
- NPI assigned
- Mar 27, 2006
- Last updated
- Nov 17, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1056661 | NU | Primary |
Addresses
Primary practice location
41715 Winchester Rd Ste 101
Temecula, CA 92590-4853
Mailing address
41715 Winchester Rd Ste 101
Temecula, CA 92590-4853
Phone (951) 308-4451
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
41715 Winchester Rd
Temecula, CA 92590-4853
41715 Winchester Rd
Suite 202
Temecula, CA 92590-4854
Phone (951) 296-0788
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Management Practice Physician Assistant Corporation | Physician Assistant | Current | Accepting new patients |
| Valor Health Group Medical Corporation | Current | Accepting new patients | |
| Responsible Medical Solutions Corp | Past | Accepting new patients | |
| MDRS Spine & Sport, Inc | Past | Accepting new patients |
Locations
41715 Winchester Rd
Ste 101
Temecula, CA 92590
Phone (858) 616-6400
41715 Winchester Rd
Ste 107
Temecula, CA 92590
Phone 9512522972217
41715 Winchester Rd
Ste 202
Temecula, CA 92590
Phone (951) 296-0788
Interoperability endpoints
- allen.phelps.1@24997.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Urgent Care Clinic/Center
- Temecula, CA
- NPI 1922333723
-
- Physician Assistant
- Temecula, CA
- NPI 1174346498
-
- Family Medicine Physician
- Temecula, CA
- NPI 1972454882
-
dba Desert Oasis Healthcare Medical Group
- Family Medicine Physician
- Palm Springs, CA
- NPI 1114918612
-
- Physical Therapist
- Temecula, CA
- NPI 1689824203
-
dba Temecula 24 Hour Urgent Care
- Urgent Care Clinic/Center
- Temecula, CA
- NPI 1013163914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731801600000",
"number": "1275593816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41715 WINCHESTER RD STE 101",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925904853",
"telephone_number": "951-308-4451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41715 WINCHESTER RD STE 101",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925904853",
"telephone_number": "951-308-4451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHELPS",
"first_name": "ALLEN",
"middle_name": "MARTIN",
"name_prefix": "Mr.",
"credential": "PA-C, MPAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-27",
"last_updated": "2024-11-17",
"certification_date": "2024-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": "1056661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.