George W Allman, M.D.

Individual provider Active NPI Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Daly City, CA

NPI 1619982592 · NPPES record last updated Jul 25, 2018

Key facts

NPI
1619982592
Entity type
Individual (NPI type 1)
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
License
C50102 (CA)
Practice address
1500 Southgate Ave
Suite 209
Daly City, CA 94015-2259
Phone
(650) 991-2662
Fax
(650) 991-2646
NPI assigned
Jul 29, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C50102CAMDOrthotist

Practice roles

OrganizationSpecialtyStatusNew patients
California Pacific Medical Group, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X C50102 CA Yes

Addresses

Primary practice location

1500 Southgate Ave
Suite 209
Daly City, CA 94015-2259

Mailing address

909 Hyde St
Ste 501
San Francisco, CA 94109-4853
Phone (650) 991-2662

Other providers in Daly City, CA

All providers in Daly City, CA · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in California

Sources for this page

Verify at the official NPI Registry.