Individual provider Active NPI

Eugene Allen, D.O.

  • Emergency Medicine Physician
  • Paramount, CA
National Provider Identifier
1760427579
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
20A6802 Issued in CA
Practice address
15745 Paramount Blvd
Paramount, CA 90723-4332
Phone
(562) 808-2243
Fax
(562) 808-2203
NPI assigned
Jun 17, 2006
Last updated
May 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 20A6802 CA Primary

Addresses

Primary practice location

15745 Paramount Blvd
Paramount, CA 90723-4332

Mailing address

PO Box 3126
Redondo Beach, CA 90277-1126
Phone (562) 808-2273

Other practice location 1

3356 W Ball Rd Ste 120
Anaheim, CA 92804-3727
Phone (714) 828-2273

Other practice location 2

709 Newmark Mall
Montebello, CA 90640-4752
Phone (323) 888-2273

Other practice location 3

1045 W Redondo Beach Blvd Ste 138
Gardena, CA 90247-4104
Phone (310) 324-2272

Other practice location 4

323 N Prairie Ave Ste 434
Inglewood, CA 90301-4506
Phone (310) 673-2273

Other practice location 5

3680 E Imperial Hwy Ste 410
Lynwood, CA 90262-2692
Phone (310) 639-2220

Other practice location 6

701 E 28th St Ste 401
Long Beach, CA 90806-2743
Phone (562) 426-2662

Other identifiers 1

IdentifierTypeStateIssuer
00AX68020MedicaidCA

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
I20040316000914 CA Practitioner - Emergency MedicinePractitioner - General Practice 9032009964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: General Practice
Education
West Virginia School of Osteopathic Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15745 Paramount Blvd
Paramount, CA 90723-4332
Phone (562) 808-2273

3680E Imperial Hwy 410
Lynwood, CA 90262-2692
Phone (310) 639-2220

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A6802CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eugene Allen MD Inc Emergency Medicine CurrentSince Dec 6, 2003 Accepting new patients
Max Franklin Lebow, a Medical Corporation Emergency Medicine Past Accepting new patients
Team Physicians of California Medical Group Inc Emergency Medicine Past Accepting new patients
Downey Radiology Associates Past Accepting new patients
Centinela Freeman Emergency Medical Associates Emergency Medicine Past Accepting new patients

Locations

3356 W Ball Rd
Ste 120
Anaheim, CA 92804
Phone (714) 828-2273

1045 W Redondo Beach Blvd
Ste 138
Gardena, CA 90247
Phone (310) 323-2273

701 E 28th St
Ste 401
Long Beach, CA 90806
Phone (562) 426-2662

3680 E Imperial Hwy
Ste 410
Lynwood, CA 90262
Phone (310) 639-2220

709 Newmark Mall
Montebello, CA 90640
Phone (323) 888-2020

15745 Paramount Blvd
Paramount, CA 90723
Phone (562) 808-2243

16415 Colorado Ave
Ste 307
Paramount, CA 90723
Phone (562) 808-2273

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1760427579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3126",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902771126",
            "telephone_number": "562-808-2273",
            "fax_number": "310-373-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15745 PARAMOUNT BLVD",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907234332",
            "telephone_number": "562-808-2243",
            "fax_number": "562-808-2203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3356 W Ball Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928043727",
            "country_code": "US",
            "telephone_number": "714-828-2273",
            "fax_number": "714-828-2202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "709 Newmark Mall",
            "address_purpose": "LOCATION",
            "city": "Montebello",
            "state": "CA",
            "postal_code": "906404752",
            "country_code": "US",
            "telephone_number": "323-888-2273",
            "fax_number": "323-888-2213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1045 W Redondo Beach Blvd Ste 138",
            "address_purpose": "LOCATION",
            "city": "Gardena",
            "state": "CA",
            "postal_code": "902474104",
            "country_code": "US",
            "telephone_number": "310-324-2272",
            "fax_number": "310-324-2203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "323 N Prairie Ave Ste 434",
            "address_purpose": "LOCATION",
            "city": "Inglewood",
            "state": "CA",
            "postal_code": "903014506",
            "country_code": "US",
            "telephone_number": "310-673-2273",
            "fax_number": "310-673-2203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3680 E Imperial Hwy Ste 410",
            "address_purpose": "LOCATION",
            "city": "Lynwood",
            "state": "CA",
            "postal_code": "902622692",
            "country_code": "US",
            "telephone_number": "310-639-2220",
            "fax_number": "310-639-2221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 E 28th St Ste 401",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908062743",
            "country_code": "US",
            "telephone_number": "562-426-2662",
            "fax_number": "562-426-2665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A6802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX68020",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramount, CA

Sources for this page

Verify at the official NPI Registry.