Individual provider Active NPI

Allison Nichole Wheeler Dunivan, PA-C

  • Physician Assistant
  • Salinas, CA
National Provider Identifier
1972022192
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
57685 Issued in CA
Practice address
1033 Los Palos Dr Ste a
Salinas, CA 93901-3916
Phone
(831) 757-2058
Fax
(831) 757-0232
NPI assigned
Sep 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3186 TN
Physician Assistant 363A00000X 57685 CA Primary

Addresses

Primary practice location

1033 Los Palos Dr Ste a
Salinas, CA 93901-3916

Mailing address

1033 Los Palos Dr Ste a
Salinas, CA 93901-3916
Phone (831) 757-2058

Other practice location 1

3960 New Covington Pike
Memphis, TN 38128-2504
Phone (901) 516-5587

Other practice location 2

1265 Union Avenue
Memphis, TN 38104
Phone (901) 516-2362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180110000443 TN Practitioner - Physician Assistant 6204195688 Reassigns benefits to 1 organization
I20200409001234 CA Practitioner - Physician Assistant 6204195688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Svmhs ClinicsGroup PAC ID 1456592351, 258 clinicians

Practice addresses (Care Compare)

1033 Los Palos Dr
Salinas, CA 93901-3916
Phone (831) 757-2058

450 E Romie LN
Salinas, CA 93901-4029
Phone (831) 759-3257

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3186TNMDSpeech-Language Pathologist
57685CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Svmhs Clinics CurrentSince Mar 30, 2020 Accepting new patients
Lancelot O Alexander MD a Medical Corporation PastSince Mar 22, 2020 Accepting new patients

Locations

1033 Los Palos Dr
Ste A
Salinas, CA 93901
Phone (831) 242-8645

1033 Los Palos Dr
Salinas, CA 93901
Phone (831) 424-2866

Interoperability endpoints

  • Direct secure messaging: adunivan14536@direct.svmh.com

Organizations & group practices 3

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

Hospital & facility affiliations 2

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": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1972022192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 LOS PALOS DR STE A",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013916",
            "telephone_number": "831-757-2058",
            "fax_number": "831-757-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 LOS PALOS DR STE A",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013916",
            "telephone_number": "831-757-2058",
            "fax_number": "831-757-0232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3960 New Covington Pike",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381282504",
            "country_code": "US",
            "telephone_number": "901-516-5587",
            "fax_number": "901-516-5323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1265 Union Avenue",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "38104",
            "country_code": "US",
            "telephone_number": "901-516-2362",
            "fax_number": "901-516-8254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNIVAN",
        "first_name": "ALLISON",
        "middle_name": "NICHOLE WHEELER",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-19",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "3186",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "57685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.