Organization Active NPI

Mark D Allison MD a Professional Corp

  • Internal Medicine Physician
  • Riverside, CA
National Provider Identifier
1962524538
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C50568 Issued in CA
Legal business name
MARK D ALLISON MD A PROFESSIONAL CORP
Practice address
4100 Central Ave
#106
Riverside, CA 92506-2933
Phone
(951) 788-8332
Fax
(951) 788-6380
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Authorized official

Name
Dr. Mark David Allison, MD
Title
President
Phone
(951) 788-8332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X C50568 CA Primary

Addresses

Primary practice location

4100 Central Ave
#106
Riverside, CA 92506-2933

Mailing address

PO Box 1413
Riverside, CA 92502-1413
Phone (951) 788-8332

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1962524538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1413",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925021413",
            "telephone_number": "951-788-8332",
            "fax_number": "951-788-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 CENTRAL AVE",
            "address_2": "#106",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062933",
            "telephone_number": "951-788-8332",
            "fax_number": "951-788-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK D ALLISON MD A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-788-8332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C50568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.