Allison Jhin, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

20A21542 Issued in CA

Practice address

711 Stony Point Rd Ste 17
Santa Rosa, CA 95407-6848

Phone

(707) 578-2005

NPI assigned

Mar 31, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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 Osteopathy

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 and National Provider Directory roles.

• Santa Rosa Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Santa Rosa, CA
  • NPI 1578631172
  Medicare reassignment NPD
• Santa Rosa Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Santa Rosa, CA
  • NPI 1467180430
  NPD
• Santa Rosa Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Santa Rosa, CA
  • NPI 1871651273
  NPD
• Providence Medical Foundation

  • Family Medicine Physician
  • Anaheim, CA
  • NPI 1609925957
  NPD (past)
• Santa Rosa Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Santa Rosa, CA
  • NPI 1558512624
  NPD (past)
• Medical College of Wisconsin Affiliated Hospitals

  • Student in an Organized Health Care Education/Training Program
  • Milwaukee, WI
  • NPI 1164365714
  NPD (past)

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1760010102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 TAN OAK CIR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031726",
            "telephone_number": "314-346-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 STONY POINT RD STE 17",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954076848",
            "telephone_number": "707-578-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JHIN",
        "first_name": "ALLISON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "20A21542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dale G Jewell, RPH
• Jewish Community Free Clinic
• Jewish Family and Children'S Services
• Jewish Family and Children'S Services
• JGS Pharmacies Inc
• Tingjen Ji, DDS, MSD
• Anthony Jiang
• Jill Applegate Marriage and Family Therapy, Inc.
• Mariana Jimenez Hernandez
• Carolina Jimenez, NP

• Pediatrics Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.