Active NPI
Gwen Maria Allen, M.D.
- Obstetrics & Gynecology Physician
- Gardena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A061790
- Practice address
- 1045 W Redondo Beach Blvd
#500
Gardena, CA 90247-4128 - Phone
- (310) 329-9492
- Fax
- (310) 329-3799
- NPI assigned
- Sep 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A061790 | CA | Primary |
Addresses
Primary practice location
1045 W Redondo Beach Blvd
#500
Gardena, CA 90247-4128
Mailing address
1045 W Redondo Beach Blvd
#500
Gardena, CA 90247-4128
Phone (310) 329-9492
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A617900 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of California, Geffen School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1141 W Redondo Beach Blvd
Suite 402
Gardena, CA 90247-3582
Phone (310) 329-9492
Hospital & facility affiliations
- Centinela Hospital Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A061790 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gwen M. Allen MD Inc | Current | Accepting new patients | |
| Gardena Hospital LP | Past | Accepting new patients | |
| Little Company of Mary Affiliated Services Inc | Obstetrics & Gynecology | Past | Accepting new patients |
| Providence Health System Southern California | Past | Accepting new patients | |
| St Francis Medical Center | Past | Accepting new patients |
Locations
1141 W Redondo Beach Blvd
Ste 402
Gardena, CA 90247
Phone (310) 329-8631
1045 W Redondo Beach Blvd
Ste 500
Gardena, CA 90247
Phone (310) 329-9492
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HGCJBA/Endpoint/HGCJBA
Organizations & group practices 5
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.
-
- Gynecology Physician
- Gardena, CA
- NPI 1326051806
-
- Institutional Pharmacy
- Gardena, CA
- NPI 1669491700
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1902844988
-
- Long Term Care Hospital
- Lynwood, CA
- NPI 1346378270
-
- Internal Medicine Physician
- Evergreen Park, IL
- NPI 1588617260
Obstetrics & Gynecology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Inglewood, CA
- NPI 1336328244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201737600000",
"number": "1306942909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 W REDONDO BEACH BLVD",
"address_2": "#500",
"city": "GARDENA",
"state": "CA",
"postal_code": "902474128",
"telephone_number": "310-329-9492",
"fax_number": "310-329-3799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 W REDONDO BEACH BLVD",
"address_2": "#500",
"city": "GARDENA",
"state": "CA",
"postal_code": "902474128",
"telephone_number": "310-329-9492",
"fax_number": "310-329-3799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "GWEN",
"middle_name": "MARIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2008-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A061790",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A617900",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.