John J Allavie, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G47555 Issued in CA

Practice address

4605 Brockton Ave
Suite 100
Riverside, CA 92506-0107

Phone

(951) 686-4911

Fax

(951) 686-9409

NPI assigned

Apr 5, 2006

Last updated

Feb 18, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Riverside Eye Specialists Medical Group Inc.

  • Ophthalmology Physician
  • Riverside, CA
  • NPI 1508828963
  Medicare reassignment NPD
• Riverside Eye, Ear, Nose,Throat Institute

  • Ambulatory Surgical Clinic/Center
  • Riverside, CA
  • NPI 1811091374
  Authorized official Same address or phone

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234915200000",
    "number": "1740242627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 BROCKTON AVE",
            "address_2": "SUITE 100",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925060107",
            "telephone_number": "951-686-4911",
            "fax_number": "951-686-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 BROCKTON AVE",
            "address_2": "SUITE 100",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925060107",
            "telephone_number": "951-686-4911",
            "fax_number": "951-686-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLAVIE",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2009-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G47555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G47550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• All Hours Care Inc
• All Minds Clear Family Therapy, Inc.
• All Time Transportation Inc
• All Universal Medical Supplies, Inc.
• Mecca Zaire Allah
• Jace Alan Allbright, PT DPT CSCS
• Allcare Hospitalists, Inc
• Allison Allen
• Caleb Allen, DPT
• Clinton Allen

• Ophthalmology Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.