Organization Active NPI

Certified Medical Group, Inc

Doing business as Dr Lancy Allyn , & Associates

  • Specialist
  • Hanford, CA
National Provider Identifier
1750397311
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G21696 Issued in CA
Legal business name
CERTIFIED MEDICAL GROUP, INC
Doing business as
Dr Lancy Allyn , & Associates
Practice address
125 Mall Dr.
Suite 301
Hanford, CA 93230
Phone
(559) 584-3000
Fax
(559) 583-8456
NPI assigned
Aug 1, 2006
Last updated
Dec 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Authorized official

Name
Dr. Donald Lancy Allyn, M.D.NPI 1558302893
Title
Owner/President
Phone
(559) 584-3000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G21696 CA Primary

Addresses

Primary practice location

125 Mall Dr.
Suite 301
Hanford, CA 93230

Mailing address

125 Mall Dr.
Suite 301
Hanford, CA 93230
Phone (559) 584-3000

Other names 1

  • Dr Lancy Allyn , & Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050412001492 CA Part B Supplier - Clinic/Group Practice 7113964040 Receives reassigned benefits from 1 practitioner
Practice locations: Hanford, CA

National Provider Directory

National Provider Directory

Locations

125 Mall Dr
Ste 301
Hanford, CA 93230
Phone (559) 584-3000

470 Greenfield Ave
Ste 35
Hanford, CA 93230
Phone (559) 584-3000

5533 W Hillsdale Ave
Visalia, CA 93291
Phone (559) 735-9000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1750397311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MALL DR.",
            "address_2": "SUITE 301",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "93230",
            "telephone_number": "559-584-3000",
            "fax_number": "559-583-8456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MALL DR.",
            "address_2": "SUITE 301",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "93230",
            "telephone_number": "559-584-3000",
            "fax_number": "559-583-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTIFIED MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "ALLYN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "LANCY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "559-584-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G21696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Lancy Allyn , & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.