Individual provider Active NPI

Diego G. Allende, D.O.

  • Family Medicine Physician
  • Fresno, CA
National Provider Identifier
1568789097
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A7611 Issued in CA
Practice address
6234 N 1St St
Fresno, CA 93710-5446
Phone
(559) 435-5727
Fax
(559) 435-5503
NPI assigned
Apr 23, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

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 20A7611 CA Primary

Addresses

Primary practice location

6234 N 1St St
Fresno, CA 93710-5446

Mailing address

6234 N 1St St
Fresno, CA 93710-5446
Phone (559) 435-5727

Other identifiers 1

IdentifierTypeStateIssuer
20A7611OtherCACA. LICENSE

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
I20050406001007 CA Practitioner - Family Practice 8921086026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, San Francisco School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6234 N 1St St
Fresno, CA 93710-5446
Phone (559) 435-5727

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A7611CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diego G Allende a Medical Corporation Family Medicine CurrentSince Aug 1, 2002 Accepting new patients
Saint Agnes Medical Center Past Accepting new patients

Locations

6234 N 1st St
Fresno, CA 93710
Phone (559) 435-5727

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271980800000",
    "number": "1568789097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6234 N 1ST ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105446",
            "telephone_number": "559-435-5727",
            "fax_number": "559-435-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6234 N 1ST ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105446",
            "telephone_number": "559-435-5727",
            "fax_number": "559-435-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLENDE",
        "first_name": "DIEGO",
        "middle_name": "G.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A7611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA. LICENSE",
            "identifier": "20A7611",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.