David R. Allen, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G25038 Issued in CA

Practice address

2211 Corinth Ave
#204
Los Angeles, CA 90064-1650

Phone

(310) 966-9194

Fax

(310) 966-9196

NPI assigned

Mar 29, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Jennifer Sudarsky MD a Professional Corp

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1700339561
  NPD (past)
• Longevity Medical Center

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1972760213
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376663153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 CORINTH AVE",
            "address_2": "#204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641650",
            "telephone_number": "310-966-9194",
            "fax_number": "310-966-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 CORINTH AVE",
            "address_2": "#204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641650",
            "telephone_number": "310-966-9194",
            "fax_number": "310-966-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "DAVID",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G25038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clymie Allen, LCSW
• Daniel J Allen, O.D.
• Darlene Elizabeth Allen, R.D., CDE
• David Allen, PH.D.
• David Philip Allen, CRNA
• Deanna Lynn Allen, PHARMD
• Dolores E Allen
• Ernestine P Allen
• George Cyrus Allen Jr., MD
• George Spencer Allen

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.