Active NPI
Deborah Allen, NP
- Nurse Practitioner
- Rancho Palos Verdes, CA
National Provider Identifier
1821507286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95007380
- Practice address
- 32473 Sea Raven Dr
Rancho Palos Verdes, CA 90275-6120 - Phone
- (310) 748-2140
- NPI assigned
- Sep 28, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95007380 | CA | Primary |
Addresses
Primary practice location
32473 Sea Raven Dr
Rancho Palos Verdes, CA 90275-6120
Mailing address
32473 Sea Raven Dr
Rancho Palos Verdes, CA 90275-6120
Phone (310) 748-2140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95007380 | Other | CA | NURSE PRACTITIONER LICENSE |
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)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95007380 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562630400000",
"number": "1821507286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32473 SEA RAVEN DR",
"city": "RANCHO PALOS VERDES",
"state": "CA",
"postal_code": "902756120",
"telephone_number": "310-748-2140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32473 SEA RAVEN DR",
"city": "RANCHO PALOS VERDES",
"state": "CA",
"postal_code": "902756120",
"telephone_number": "310-748-2140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "DEBORAH",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-28",
"last_updated": "2019-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95007380",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONER LICENSE",
"identifier": "95007380",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rancho Palos Verdes, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.