Alicia K Allen
Individual provider Active NPI Other Specialist/Technologist · Petaluma, CA
NPI 1821855545 · NPPES record last updated Feb 28, 2024
Key facts
- NPI
- 1821855545
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Specialist/Technologist 246Z00000X
- Practice address
- 160 Keller St
Petaluma, CA 94952-2900 - Phone
- (707) 953-6969
- NPI assigned
- Feb 28, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Specialist/Technologist |
246Z00000X | Yes |
Addresses
Primary practice location
160 Keller St
Petaluma, CA 94952-2900
Mailing address
425 Douglas St
Petaluma, CA 94952-2504
Phone (707) 953-6969
Other providers in Petaluma, CA
- Audrey Alexander
- Madedeh Alfogbanah
- Aliados Health Petaluma, Ca
- Kerry R Allan
- Jane Ellen Allard Allen
- Robert Gerard Allen
- Alliance Pain Care
- Alma First Fellows
- Patricia Suzanne Alsup
- Bushra Altarawneh
All providers in Petaluma, CA · Other Specialist/Technologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2024. 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.