Jorge Anibal Allende Jr., M.D.
Individual provider Active NPI Hospitalist Physician · Ukiah, CA
NPI 1619970068 · NPPES record last updated May 25, 2022
Key facts
- NPI
- 1619970068
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- C50896 (CA)
- Practice address
- 333 Laws Ave
Ukiah, CA 95482-6540 - Phone
- (707) 468-1010
- Fax
- (707) 462-7532
- NPI assigned
- May 31, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- University of North Carolina at Chapel Hill School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pacific Inpatient Medical Group
Practice addresses (Care Compare)
3555 Cesar Chavez
San Francisco, CA 94110-4403
Phone (415) 485-8824
Hospital & facility affiliations
- Sutter Santa Rosa Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 90
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.43
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070608000578 | CA | Practitioner - Hospitalist |
2567560899 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50896 | CA | MD | General Practice Dentistry |
| C50896 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Inpatient Medical Group | Internal Medicine | Current |
Accepting new patients |
| Galen Inpatient Physicians PC | Hospitalist | Current |
Accepting new patients |
| Galen Inpatient Physicians, PC | Hospitalist | Current | Accepting new patients |
| Galen Inpatient Physicians PC | Internal Medicine | Current |
Accepting new patients |
| Internal Medicine Clinic Inc. | Past |
Accepting new patients | |
| Internal Medicine Clinic Inc. | Past | Accepting new patients | |
| Sports Medicine Grant, Inc | Past | Accepting new patients | |
| Value in Prevention of Colorado PLLC | Internal Medicine | Past |
Accepting new patients |
Locations
2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1101 Van Ness Ave
San Francisco, CA 94109
Phone (415) 485-8824
3555 Cesar Chavez
San Francisco, CA 94110
Phone (415) 485-8824
869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800
275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900
15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691
1 Marcela Dr
Willits, CA 95490
Phone (707) 456-3001
Interoperability endpoints
- jallende214655@hisp.ehr.sutterhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C50896 | CA | |
| Pediatrics Physician | 208000000X | C50896 | CA | |
| Hospitalist Physician | 208M00000X | C50896 | CA | Yes |
Addresses
Primary practice location
333 Laws Ave
Ukiah, CA 95482-6540
Mailing address
333 Laws Ave
Ukiah, CA 95482-6540
Phone (707) 468-1010
Other providers in Ukiah, CA
- Laura Alexander
- Lee Alexander
- Loretta Alexander
- Rachael Alexander
- Lasara Firefox Allen
- Lisa Allison
- Micah Allison
- Derick Almena
- Scott D. Altamirano
- Nidia Alvarado Rosas
All providers in Ukiah, CA · Hospitalist Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2022. 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.