Individual provider Active NPI

Allison Lynn Bearden, MD, MPH

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1780875575
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A94892 Issued in CA
Practice address
1240 N Mission Rd
WCH L902
Los Angeles, CA 90033-1019
Phone
(323) 226-3691
NPI assigned
Aug 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A94892 CA Primary

Addresses

Primary practice location

1240 N Mission Rd
WCH L902
Los Angeles, CA 90033-1019

Mailing address

1640 Marengo Street Hra 300 MC 9264
Los Angeles, CA 90089-9300
Phone (323) 865-1575

Other practice location 1

1640 Marengo Street Hra 300 Mc 9264
Los Angeles, CA 90089-6213
Phone (323) 865-1575

Other practice location 2

1625 Schrader Blvd Fl 3
Los Angeles, CA 90028-6213
Phone (323) 993-7568

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
I20170110001708 CA Practitioner - Infectious Disease 9739460593 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A94892CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles LGBT Center CurrentSince Nov 12, 2016 Accepting new patients
Los Angeles LGBT Center CurrentSince Nov 12, 2016 Accepting new patients

Locations

1625 Schrader Blvd
Fl 3
Los Angeles, CA 90028
Phone (323) 993-7400

1625 Schrader Blvd
Los Angeles, CA 90028
Phone (323) 993-7400

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1780875575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 MARENGO STREET HRA 300 MC 9264",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900899300",
            "telephone_number": "323-865-1575",
            "fax_number": "323-224-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 N MISSION RD",
            "address_2": "WCH L902",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331019",
            "telephone_number": "323-226-3691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1640 Marengo Street Hra 300 Mc 9264",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900896213",
            "country_code": "US",
            "telephone_number": "323-865-1575",
            "fax_number": "323-224-5013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1625 Schrader Blvd Fl 3",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900286213",
            "country_code": "US",
            "telephone_number": "323-993-7568",
            "fax_number": "323-308-2759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEARDEN",
        "first_name": "ALLISON",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A94892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.