Robert Waldo Allen, M.D.
Individual provider Active NPI Surgery Physician · Watsonville, CA
NPI 1730610403 · NPPES record last updated Dec 16, 2025
Key facts
- NPI
- 1730610403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 176876 (CA)
- Practice address
- 65 Nielson St Ste 125
Watsonville, CA 95076-2491 - Phone
- (831) 768-6266
- Fax
- (831) 768-6289
- NPI assigned
- Mar 24, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pajaro Valley Health Care District
Practice addresses (Care Compare)
65 Nielson St
Suite 125
Watsonville, CA 95076-2491
Phone (831) 768-6266
Hospital & facility affiliations
- Watsonville Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 26 |
| Skin biopsy | 1-10 |
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 |
|---|---|---|---|---|
| I20240201003002 | CA | Practitioner - General Surgery | 0345507000 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 176876 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pajaro Valley Health Care District | Surgery | Current |
Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current |
Accepting new patients | |
| Southern California Permanente Medical Group | Current |
Accepting new patients |
Locations
6041 Cadillac Ave
Los Angeles, CA 90034
Phone (323) 857-2000
393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914
65 Nielson St
Ste 125
Watsonville, CA 95076
Phone (831) 768-6266
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 176876 | CA | Yes |
Addresses
Primary practice location
65 Nielson St Ste 125
Watsonville, CA 95076-2491
Mailing address
38 Cuesta Vista Dr
Monterey, CA 93940-4306
Phone (610) 213-0986
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Other providers in Watsonville, CA
- Judy Alexander
- Felix Benjamin Alfaro
- Andrea Alheit
- Asimah Ali
- Milo Duane Allen
- Laura Almaguer
- Lizandra Alonso
- Alpana Gowda Inc
- Rosio Alvarado Partida
- Jenifer Carolina Alvarado-Navarrete
All providers in Watsonville, CA · Surgery 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 Dec 16, 2025. 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.