Gwen M. Allen MD Inc

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

A061790 Issued in CA

Legal business name

GWEN M. ALLEN MD INC

Practice address

1045 W Redondo Beach Blvd
Suite 500
Gardena, CA 90247-4128

Phone

(310) 329-9492

Fax

(310) 329-3799

NPI assigned

Aug 14, 2006

Last updated

May 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gwen Maria Allen, MDNPI 1306942909

Title

President/ Ceo

Phone

(310) 329-9492

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gwen Maria Allen, M.D.

  • Obstetrics & Gynecology Physician
  • Gardena, CA
  • NPI 1306942909
  Medicare reassignment NPD Authorized official
• Melodi M Moody, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Gardena, CA
  • NPI 1225179062
  NPD
• Crystal Danae Burgers, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Martinez, CA
  • NPI 1720397383
  NPD (past)
• Gary E Ford, M.D.

  • Otolaryngology Physician
  • Gardena, CA
  • NPI 1780634022
  NPD (past)
• Christine Marie Gutierrez, NURSE PRACTITIONER

  • Nurse Practitioner
  • Gardena, CA
  • NPI 1891118477
  NPD (past)
• Gabriel Hernandez, PA

  • Specialist
  • Gardena, CA
  • NPI 1053425132
  NPD (past)
• Nobel Lin, PA

  • Specialist
  • Gardena, CA
  • NPI 1427072453
  NPD (past)
• Henrietta O Ofoegbu, WHNP

  • Women's Health Nurse Practitioner
  • Gardena, CA
  • NPI 1831684786
  NPD (past)
• Flanagan Whitsitt, PA

  • Specialist
  • Joshua Tree, CA
  • NPI 1134294382
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1326051806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 W REDONDO BEACH BLVD STE 402",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473582",
            "telephone_number": "310-329-9492",
            "fax_number": "310-329-6314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 W REDONDO BEACH BLVD",
            "address_2": "SUITE 500",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474128",
            "telephone_number": "310-329-9492",
            "fax_number": "310-329-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWEN M. ALLEN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "GWEN",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT/ CEO",
        "authorized_official_telephone_number": "310-329-9492",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "A061790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A617900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mayra Samantha Guzman
• Natalie Guzman
• Sandra Guzman
• Sheyleen Guzman
• Trevor Guzman, BCBA
• Hacc Inc (Harbor Area Substance Abuse Treatment Center)
• Milak Hachicho
• Patricia Hadnot
• Artisha Hagins
• Galine Hagopian

• Gynecology Physician in Gardena, CA
• Providers in Gardena, CA by specialty
• Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.