Active NPI
Allison Brown
- Physician Assistant
- Folsom, CA
National Provider Identifier
1881373785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 63032
- Practice address
- 1561 Creekside Dr Ste 140
Folsom, CA 95630-3494 - Phone
- (916) 983-8595
- NPI assigned
- Jul 17, 2023
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 63032 | CA | Primary |
Addresses
Primary practice location
1561 Creekside Dr Ste 140
Folsom, CA 95630-3494
Mailing address
20130 Country Lake Blvd
Noblesville, IN 46062-9327
Phone (317) 506-2940
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63032 | CA | MD | Pharmacist |
Interoperability endpoints
- mreyes665510@hisp.ehr.sutterhealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1881373785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20130 COUNTRY LAKE BLVD",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460629327",
"telephone_number": "317-506-2940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1561 CREEKSIDE DR STE 140",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956303494",
"telephone_number": "916-983-8595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "ALLISON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-17",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "63032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.