Individual provider Active NPI

Allen Damah

  • Private Vehicle
  • Hemet, CA
National Provider Identifier
1649732751
Registry record updated Apr 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
Practice address
40265 Poppy Dr
Hemet, CA 92544-7371
Phone
(951) 663-8639
NPI assigned
Apr 5, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X Primary

Addresses

Primary practice location

40265 Poppy Dr
Hemet, CA 92544-7371

Mailing address

40265 Poppy Dr
Hemet, CA 92544-7371
Phone (951) 663-8639

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL allendamah9@gmail.com Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554422400000",
    "number": "1649732751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40265 POPPY DR",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925447371",
            "telephone_number": "951-663-8639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40265 POPPY DR",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925447371",
            "telephone_number": "951-663-8639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMAH",
        "first_name": "ALLEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-05",
        "last_updated": "2019-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "allendamah9@gmail.com",
            "affiliation": "N",
            "endpointDescription": "e mail address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "e-mail address",
            "address_1": "40265 Poppy Dr",
            "city": "Hemet",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925447371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.