Mark Allen, PA-C – Physician Assistant in Chico, CA

Key facts

NPI: 1609254309
Entity type: Individual (NPI type 1)
Primary specialty: Physician Assistant 363A00000X
License: PA52453 (CA)
Practice address: 376 Vallombrosa Ave
Chico, CA 95926-3900
Phone: (530) 891-1676
NPI assigned: May 13, 2015
Sex: Male
Sole proprietor: Yes

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 and National Provider Directory roles.

Eric L Ellis MD Inc Urgent Care Clinic/Center · Lincoln, CA · NPI 1386118305

Medicare reassignment Care Compare group CA
Sutter North Medical Foundation Ambulatory Surgical Clinic/Center · Yuba City, CA · NPI 1144251521

NPD (past)

Hospital & facility affiliations 3

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

Sutter Valley Hospitals General Acute Care Hospital · Auburn, CA · NPI 1194774299

Care Compare affiliation Hospital
Sutter Valley Hospitals General Acute Care Hospital · Roseville, CA · NPI 1356390264

Care Compare affiliation Hospital
Sutter Valley Hospitals Home Health Agency · Auburn, CA · NPI 1417987751

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Physician Assistant
Education: Other, 2014
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Eric L Ellis MD Inc (17 clinicians)

Practice addresses (Care Compare)

5007 Foothills Blvd
Roseville, CA 95747-6503
Phone (916) 727-6846

5290 Douglas Blvd
Granite Bay, CA 95746-6205
Phone (916) 258-2751

77 Lincoln Blvd
Suite 1
Lincoln, CA 95648-7422
Phone (916) 258-2751

Hospital & facility affiliations

Sutter Auburn Faith Hospital Hospital · Auburn, CA · CCN 050498
Sutter Roseville Medical Center Hospital · Roseville, CA · CCN 050309

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: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20201026002512	CA	Practitioner - Physician Assistant	0648589499	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Physician Assistant

State licenses

License	State	Type	Specialty
PA52453	CA	MD	Physician Assistant

Practice roles

Organization	Specialty	Status	New patients
Sutter North Medical Foundation		Past	Accepting new patients

Interoperability endpoints

Direct secure messaging: mark.allen.1@2545.direct.athenahealth.com
Direct secure messaging: mallen376866@hisp.ehr.sutterhealth.org
Direct secure messaging: mark.allen.1@19336.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physician Assistant	363A00000X	PA52453	CA	Yes

Addresses

Primary practice location

376 Vallombrosa Ave
Chico, CA 95926-3900

Mailing address

376 Vallombrosa Ave
Chico, CA 95926-3900
Phone (530) 891-1676

Other providers in Chico, CA

All providers in Chico, CA · Physician Assistant in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2015. 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.

Verify at the official NPI Registry.