Michael Patrick Allen, D.O.
Individual provider Active NPI Emergency Medicine Physician · Redlands, CA
NPI 1508216532 · NPPES record last updated Jun 30, 2020
Key facts
- NPI
- 1508216532
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 20A18211 (CA)
- Practice address
- 350 Terracina Blvd
Redlands, CA 92373-4850 - Phone
- (909) 335-5500
- NPI assigned
- Jun 21, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Exer Medical Corporation
Practice addresses (Care Compare)
245 Terracina Blvd
Suite 102
Redlands, CA 92373-4865
Phone (909) 406-2671
7000 Boulder Ave
Suite 103
Highland, CA 92346-3348
Phone (515) 441-6271
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.69 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 78.43
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200824003395 | CA | Practitioner - Emergency Medicine | 0345534913 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A18211 | CA | MD | Emergency Medicine Physician |
| 5151012734 | MI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America-California | Emergency Medicine | Current |
Accepting new patients |
| Exer Medical Corporation | Current |
Accepting new patients | |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current |
Accepting new patients |
Locations
26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225
26777 Agoura Rd
Calabasas, CA 91302
Phone (818) 880-2225
235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010
2381 Rosecrans Ave
Ste 115
El Segundo, CA 90245
Phone (213) 335-7355
7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
25548 The Old Rd
Ste U1
Stevenson Ranch, CA 91381
Phone (661) 556-9020
701 N Wendy Dr
Thousand Oaks, CA 91320
Phone (805) 375-4400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 5151012734 | MI | |
| Emergency Medicine Physician | 207P00000X | 20A18211 | CA | Yes |
Addresses
Primary practice location
350 Terracina Blvd
Redlands, CA 92373-4850
Mailing address
350 Terracina Blvd
Redlands, CA 92373-4897
Phone (909) 335-5500
Other providers in Redlands, CA
- Sara Michelle Allen-Dutcher
- Danielle Liane Allen
- Jesse Allen
- Jonathan Leslie Allen
- Kellie A Allen
- Allergy Asthma Consultants of the Inland Empire Inc
- Keren Alleyne
- Allied Reference Laboratory
- Cleo Marie Allington
- Allstar Medical Respite and Recuperative Care
All providers in Redlands, CA · Emergency Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.