Individual provider Active NPI

Joanne Hartley Allport, M.D., M.P.H.

  • Pediatric Adolescent Medicine Physician
  • Benicia, CA
National Provider Identifier
1811096332
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
G046934 Issued in CA
Practice address
2137 Via Alta
Benicia, CA 94510-2319
Phone
(707) 208-0845
Fax
(707) 208-0845
NPI assigned
Sep 21, 2006
Last updated
Jan 26, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X G046934 CA Primary

Addresses

Primary practice location

2137 Via Alta
Benicia, CA 94510-2319

Mailing address

2137 Via Alta
Benicia, CA 94510-2319
Phone (707) 208-0845

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G046934CAMDPediatric Adolescent Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1811096332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2137 VIA ALTA",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945102319",
            "telephone_number": "707-208-0845",
            "fax_number": "707-208-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2137 VIA ALTA",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945102319",
            "telephone_number": "707-208-0845",
            "fax_number": "707-208-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLPORT",
        "first_name": "JOANNE",
        "middle_name": "HARTLEY",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CA",
            "license": "G046934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benicia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.