Susan Park Allen MD Inc

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

SUSAN PARK ALLEN MD INC

Practice address

320 Superior Ave Ste 270
Newport Beach, CA 92663-2778

Phone

(949) 645-9100

Fax

(949) 650-1135

NPI assigned

Dec 22, 2005

Organization subpart

No

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

Authorized official

Name

Susan Park Allen, MDNPI 1841276805

Title

President

Phone

(949) 645-9100

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Park Allen, MD

  • Infectious Disease Physician
  • Newport Beach, CA
  • NPI 1841276805
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1508843368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SUPERIOR AVE STE 270",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632778",
            "telephone_number": "949-645-9100",
            "fax_number": "949-650-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SUPERIOR AVE STE 270",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632778",
            "telephone_number": "949-645-9100",
            "fax_number": "949-650-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN PARK ALLEN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "PARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-645-9100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G614460",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G614460",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Infectious Disease Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Infectious Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.