Active NPI
Erin Doherty Van Allen, PA-C
- Surgical Physician Assistant
- Ridgecrest, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA10004559
- Practice address
- 1041 N China Lake Blvd
Ridgecrest, CA 93555-3168 - Phone
- (760) 446-0121
- Fax
- (760) 446-0734
- NPI assigned
- Apr 12, 2006
- Last updated
- Apr 14, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA10004559 | CA | Primary |
Addresses
Primary practice location
1041 N China Lake Blvd
Ridgecrest, CA 93555-3168
Mailing address
1081 N China Lake Blvd
Ridgecrest, CA 93555-3130
Phone (760) 446-0121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013164 | Medicaid | WA |
Other names 1
- Erin Elizabeth Doherty
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Wake Forest University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1011 N China Lake Blvd
Ridgecrest, CA 93555-3130
Phone (760) 446-6404
1041 N China Lake Blvd
Ridgecrest, CA 93555-3168
Phone (760) 446-8692
1081 N China Lake Blvd
Ridgecrest, CA 93555-3130
Phone (760) 499-3899
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64990 | CA | MD | Dentist |
| PA10004559 | CA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Ridgecrest Regional Hospital | Current | Accepting new patients | |
| Ridgecrest Regional Hospital | Past | Accepting new patients |
Locations
1041 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0121
1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616
1111 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-4571
1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586
Interoperability endpoints
- evanallen12390@skagit.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Ridgecrest, CA
- NPI 1447253125
-
dba Skagit Regional Clinics
- General Practice Physician
- Mount Vernon, WA
- NPI 1023332749
-
dba China Lake Community Health Clinic
- Rural Health Clinic/Center
- Ridgecrest, CA
- NPI 1639448400
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Ridgecrest, CA
- NPI 1447253125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1558325167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1081 N CHINA LAKE BLVD",
"city": "RIDGECREST",
"state": "CA",
"postal_code": "935553130",
"telephone_number": "760-446-0121",
"fax_number": "760-446-0734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1041 N CHINA LAKE BLVD",
"city": "RIDGECREST",
"state": "CA",
"postal_code": "935553168",
"telephone_number": "760-446-0121",
"fax_number": "760-446-0734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN ALLEN",
"first_name": "ERIN",
"middle_name": "DOHERTY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-12",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "PA10004559",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013164",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "DOHERTY",
"middle_name": "ELIZABETH",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ridgecrest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.