Active NPI
Jonathan Walter Allen, M.D.
- Cardiovascular Disease Physician
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- G76225
- 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, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| DR.00698522 | CO | MD | Cardiovascular Disease Physician |
| MD-13915 | HI | MD | Cardiovascular Disease Physician |
| 2023-01015 | NC | MD | Cardiovascular Disease Physician |
| IMLC.MD.61407700 | WA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Providence Medical Foundation | Past | Accepting new patients | |
| Iora Health Texas, PLLC | Past | 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.
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
WA
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
dba Confluence Health
- Emergency Medical Services (Emergency Medicine) Physician
- Wenatchee, WA
- NPI 1801937453
-
- Clinic/Center
- New York, NY
- NPI 1902318603
-
- General Practice Physician
- Portland, OR
- NPI 1871848457
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
-
dba Providence Benedictine Nursing Center
- Skilled Nursing Facility
- Mount Angel, OR
- NPI 1417978164
-
- Obstetrics & Gynecology Physician
- Napa, CA
- NPI 1205131950
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kaiser Sunnyside Medical Center
- General Acute Care Hospital
- Clackamas, OR
- NPI 1124182902
-
dba Providence Humboldt Home Infusion
- Home Infusion Therapy Pharmacy
- Eureka, CA
- NPI 1568422319
Hospital
-
dba Providence St. Joseph Hospital
- General Acute Care Hospital
- Eureka, CA
- NPI 1609858950
-
dba Providence St. Joseph Hospital
- General Acute Care Hospital
- Eureka, CA
- NPI 1891900635
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.