Active NPI
Elan Allison
- Orthotist
- Los Angeles, CA
National Provider Identifier
1558810754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- CO005278
- Practice address
- 1127 Wilshire Blvd
310
Los Angeles, CA 90017-3901 - Phone
- (213) 250-7850
- Fax
- (213) 250-7363
- NPI assigned
- Sep 28, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | CO005278 | CA | Primary |
| Prosthetist | 224P00000X | CPO03792 | CA |
Addresses
Primary practice location
1127 Wilshire Blvd
310
Los Angeles, CA 90017-3901
Mailing address
1127 Wilshire Blvd
310
Los Angeles, CA 90017-3901
Phone (213) 250-7850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO005278 | CA | MD | Orthotist |
| CPO03792 | CA | MD | Prosthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475020800000",
"number": "1558810754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1127 WILSHIRE BLVD",
"address_2": "310",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900173901",
"telephone_number": "213-250-7850",
"fax_number": "213-250-7363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1127 WILSHIRE BLVD",
"address_2": "310",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900173901",
"telephone_number": "213-250-7850",
"fax_number": "213-250-7363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLISON",
"first_name": "ELAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-28",
"last_updated": "2016-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "CA",
"license": "CO005278",
"primary": true
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "CA",
"license": "CPO03792",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Ervin Allison Jr
- Allison Kawa, Psy.D. & Associates, a Psychological Corporation
- Allison Perks Licensed Clinical Social Worker Incorporated
- Allison Sheen, Marriage and Family Therapy, Inc
- Daniel Christopher Allison, MD
- Mark Allison, LMFT
- Teana Allison
- Allmed of Los Angeles, Inc
- Amira Alloush
- Allpoint Home Health, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.