Individual provider Active NPI

Jonathan Walter Allen, M.D.

  • Cardiovascular Disease Physician
  • Vancouver, WA
National Provider Identifier
1922186402
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G76225 Issued in CA
Practice address
200 NE Mother Joseph PL Ste 400
Vancouver, WA 98664-3290
Phone
(360) 514-4444
Fax
(360) 514-6530
NPI assigned
Nov 1, 2006
Last updated
Aug 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 69326 AZ
Cardiovascular Disease Physician 207RC0000X 175607 NY
Cardiovascular Disease Physician 207RC0000X IMLC.MD.61407700 WA
Cardiovascular Disease Physician 207RC0000X 41042 OK
Cardiovascular Disease Physician 207RC0000X TPME4726 FL
Cardiovascular Disease Physician 207RC0000X 89343 SC
Cardiovascular Disease Physician 207RC0000X DR.00698522 CO
Cardiovascular Disease Physician 207RC0000X MD-13915 HI
Cardiovascular Disease Physician 207RC0000X G76225 CA Primary
Cardiovascular Disease Physician 207RC0000X 2023-01015 NC
Cardiovascular Disease Physician 207RC0000X 94746 GA

Addresses

Primary practice location

200 NE Mother Joseph PL Ste 400
Vancouver, WA 98664-3290

Mailing address

2500 Merced Street
San Leandro, CA 94577-4201
Phone (510) 454-1000

Other practice location 1

2500 Merced Street
San Leandro, CA 94577-4201
Phone (510) 454-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY, NV, GA, IL, WA, OR7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20130114000207 CA Practitioner - Cardiovascular Disease (Cardiology) 4284734518 Reassigns benefits to 1 organization
I20230103002237 NY Practitioner - Cardiovascular Disease (Cardiology) 4284734518 Reassigns benefits to 1 organization
I20230308001349 NV Practitioner - Cardiovascular Disease (Cardiology) 4284734518
I20230310002201 GA Practitioner - Cardiovascular Disease (Cardiology) 4284734518
I20230315001284 IL Practitioner - Cardiovascular Disease (Cardiology) 4284734518
I20240117004728 WA Practitioner - Cardiovascular Disease (Cardiology) 4284734518 Reassigns benefits to 2 organizations
I20250219000285 OR Practitioner - Cardiovascular Disease (Cardiology) 4284734518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Boston University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

10100 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone (800) 813-2000

2773 Harris St
Suite a
Eureka, CA 95503-4866
Phone (707) 267-2070

840 E Hill Ave
Moses Lake, WA 98837-2238
Phone (509) 663-8711

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.00698522COMDCardiovascular Disease Physician
MD-13915HIMDCardiovascular Disease Physician
2023-01015NCMDCardiovascular Disease Physician
IMLC.MD.61407700WAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Northwest Current Accepting new patients
Providence Medical Foundation CurrentSince Nov 11, 2025 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Providence Health & Services Oregon CurrentSince Jan 27, 2025 Accepting new patients
Providence Medical Foundation CurrentSince Nov 11, 2025 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jan 27, 2025 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jan 27, 2025 Accepting new patients
Providence Medical Foundation Past Accepting new patients
Iora Health Texas, PLLC PastSince Oct 12, 2025 Accepting new patients

Locations

2773 Harris St
Ste A
Eureka, CA 95503
Phone (707) 442-1182

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

500 NE Multnomah St
Fl 11
Portland, OR 97232

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

200 NE Mother Joseph Pl
Ste 400
Vancouver, WA 98664
Phone (360) 256-2640

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1922186402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 MERCED STREET",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774201",
            "telephone_number": "510-454-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NE MOTHER JOSEPH PL STE 400",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986643290",
            "telephone_number": "360-514-4444",
            "fax_number": "360-514-6530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Merced Street",
            "address_purpose": "LOCATION",
            "city": "San Leandro",
            "state": "CA",
            "postal_code": "945774201",
            "country_code": "US",
            "telephone_number": "510-454-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JONATHAN",
        "middle_name": "WALTER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "69326",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "175607",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "IMLC.MD.61407700",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OK",
            "license": "41042",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "TPME4726",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "89343",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "DR.00698522",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "HI",
            "license": "MD-13915",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G76225",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2023-01015",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "94746",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.