Individual provider Active NPI

Allen Houshiar, DO, MS

  • Family Medicine Physician
  • Orange, CA
National Provider Identifier
1427076272
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A8021 Issued in CA
Practice address
2501 E Chapman Ave
Orange, CA 92869-3204
Phone
(714) 628-3300
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A8021 CA Primary

Addresses

Primary practice location

2501 E Chapman Ave
Orange, CA 92869-3204

Mailing address

32 Vintage
Irvine, CA 92620-3409
Phone (714) 878-4812

Other practice location 1

32 Vintage
Irvine, CA 92620-3409
Phone (714) 878-4812

Other practice location 2

2251 N Harbor Blvd
Fullerton, CA 92835-2601
Phone (714) 449-6230

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address urgentcaresjohmg@sjhhandhmg.allscriptsdirect.net

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040330001736 CA Practitioner - Family Practice 5294727467 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians
Laguna Beach Urgent Care IncGroup PAC ID 9436446531, 2 clinicians

Practice addresses (Care Compare)

100 E Valencia Mesa Dr
Suite 105
Fullerton, CA 92835-3816
Phone (714) 871-3006

1950 Sunny Crest Dr
Suite 2900
Fullerton, CA 92835-3641
Phone (714) 992-5350

2501 E Chapman Ave
Orange, CA 92869-3204
Phone (714) 633-7175

32341 Coast Hwy
Laguna Beach, CA 92651-6701
Phone (909) 981-9800

5630 E Santa Ana Canyon Rd
Anaheim, CA 92807-3122
Phone (714) 602-2400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Colonoscopy1-10
Coronary angioplasty and stenting1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue16
Removal of skin lesions48
Removal of skin cancer1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Fallbrook Medical Center, Inc Family Medicine CurrentSince Jul 2, 2011 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation Family Medicine CurrentSince Jun 1, 2016 Accepting new patients
Laguna Beach Urgent Care, Inc. CurrentSince Aug 27, 2018 Accepting new patients
Providence Medical Foundation CurrentSince Jun 1, 2016 Accepting new patients
Carbon Health Medical Group of California PC Family Medicine Past Accepting new patients
Ideal Spine & Rehab PastSince Apr 1, 2013 Accepting new patients
Orange County Urgent Care #3, Inc. Past Accepting new patients
Orange County Urgent Care #3 Inc. Past Accepting new patients

Locations

593 E Elder St
Ste B
Fallbrook, CA 92028
Phone (760) 723-5900

1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835

100 E Valencia Mesa Dr
#1051182
Fullerton, CA 92835
Phone (714) 446-5200

100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200

32341 Coast Hwy
Laguna Beach, CA 92651
Phone (909) 981-9800

2501 E Chapman Ave
Orange, CA 92869
Phone (714) 628-3300

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1427076272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 VINTAGE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203409",
            "telephone_number": "714-878-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 E CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928693204",
            "telephone_number": "714-628-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32 Vintage",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926203409",
            "country_code": "US",
            "telephone_number": "714-878-4812",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2251 N Harbor Blvd",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928352601",
            "country_code": "US",
            "telephone_number": "714-449-6230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOUSHIAR",
        "first_name": "ALLEN",
        "credential": "DO, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A8021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "urgentcaresjohmg@sjhhandhmg.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "2501 E Chapman Ave",
            "city": "Orange",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928693204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.