Joanne Hartley Allport, M.D., M.P.H.
Individual provider Active NPI Pediatric Adolescent Medicine Physician · Benicia, CA
NPI 1811096332 · NPPES record last updated Jan 26, 2011
Key facts
- NPI
- 1811096332
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Adolescent Medicine Physician 2080A0000X
- License
- G046934 (CA)
- Practice address
- 2137 Via Alta
Benicia, CA 94510-2319 - Phone
- (707) 208-0845
- Fax
- (707) 208-0845
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G046934 | CA | MD | Pediatric Adolescent Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | G046934 | CA | Yes |
Addresses
Primary practice location
2137 Via Alta
Benicia, CA 94510-2319
Mailing address
2137 Via Alta
Benicia, CA 94510-2319
Phone (707) 208-0845
Other providers in Benicia, CA
- Simone Lenore Adkins
- Aegis Towing and Recovery LLC
- Moriah Joya Agoustari
- Archer Dean Aidt
- Renae Allan
- Micah Altman
- Bashar Amso
- An Anesthesia and Pain Management Medical Corporation
- Arun Anand
- Hasina Anderson
All providers in Benicia, CA · Pediatric Adolescent Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.