Individual provider Active NPI

Allen A. Hassen, M.D.

  • Family Medicine Physician
  • West Covina, CA
National Provider Identifier
1659604023
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A114943 Issued in CA
Practice address
3121 E Hillside Dr
West Covina, CA 91791-3459
Phone
(626) 347-8220
NPI assigned
Sep 16, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X A114943 CA
General Practice Physician 208D00000X A114943 CA
Family Medicine Physician 207Q00000X A114943 CA Primary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X A114943 CA

Addresses

Primary practice location

3121 E Hillside Dr
West Covina, CA 91791-3459

Mailing address

3121 E Hillside Dr
West Covina, CA 91791-3459
Phone (626) 347-8220

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
I20190716001886 CA Practitioner - Family Practice 6800186669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Medical Center IncGroup PAC ID 2769666817, 12 clinicians

Practice addresses (Care Compare)

12100 Valley Blvd
Suite 109a
El Monte, CA 91732-3161
Phone (626) 575-7500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A114943CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Medical Center, Inc. CurrentSince May 2, 2023 Accepting new patients
Southern California Medical Center, Inc. Family Medicine CurrentSince May 2, 2023 Accepting new patients
Southern California Medical Center, Inc. Past Accepting new patients

Locations

12100 Valley Blvd
Ste 109A
El Monte, CA 91732
Phone (626) 575-7500

12100 Valley Blvd
Ste 109
El Monte, CA 91732

1627 E Anaheim St
Long Beach, CA 90813
Phone (562) 437-0373

8825 Whittier Blvd
Pico Rivera, CA 90660
Phone (562) 699-3333

502 W Holt Ave
Pomona, CA 91768
Phone (909) 620-5699

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: allen.hassen.p1@direct.scmedcenter.nextgenshare.com
  • Direct secure messaging: allen.hassen@fhcn.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Southern California Medical CenterEl Monte, CA, CCN 751966 Federally qualified health center Corporate Officer Nov 1, 2024
Southern California Medical CenterLong Beach, CA, CCN 921960 Federally qualified health center Corporate Officer Nov 1, 2024
Southern California Medical Center IncWoodland Hills, CA, CCN A01885 Federally qualified health center Corporate Officer Nov 1, 2024

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310515200000",
    "number": "1659604023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 E HILLSIDE DR",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917913459",
            "telephone_number": "626-347-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 E HILLSIDE DR",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917913459",
            "telephone_number": "626-347-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSEN",
        "first_name": "ALLEN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-16",
        "last_updated": "2011-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "A114943",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A114943",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A114943",
            "primary": true
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "CA",
            "license": "A114943",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.