Active NPI
Denise Christine Allen, D.O.
- Family Medicine Physician
- Santa Maria, CA
National Provider Identifier
1972631950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A6684
- Practice address
- 1400 E Church St BLDG 8
Santa Maria, CA 93454-5906 - Phone
- (805) 739-3561
- Fax
- (805) 739-3560
- NPI assigned
- Mar 1, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A6684 | CA | Primary |
Addresses
Primary practice location
1400 E Church St BLDG 8
Santa Maria, CA 93454-5906
Mailing address
1400 E. Church Street
Medical Staff Office
Santa Maria, CA 93454
Phone (805) 739-3954
Other practice location 1
2238 Bayview Heights Dr
G
Los Osos, CA 93402-3921
Phone (805) 534-1305
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6684 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 20A6684 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Central Coast Health Centers | Past | Accepting new patients | |
| CMG Medical Group, Inc. | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Morro Bay, CA
- NPI 1649356908
-
- Community Health Clinic/Center
- Bakersfield, CA
- NPI 1720752355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510099200000",
"number": "1972631950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E. CHURCH STREET",
"address_2": "MEDICAL STAFF OFFICE",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "93454",
"telephone_number": "805-739-3954",
"fax_number": "805-739-3060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 E CHURCH ST BLDG 8",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934545906",
"telephone_number": "805-739-3561",
"fax_number": "805-739-3560"
}
],
"practiceLocations": [
{
"address_1": "2238 Bayview Heights Dr",
"address_2": "G",
"address_purpose": "LOCATION",
"city": "Los Osos",
"state": "CA",
"postal_code": "934023921",
"country_code": "US",
"telephone_number": "805-534-1305",
"fax_number": "805-534-1346",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALLEN",
"first_name": "DENISE",
"middle_name": "CHRISTINE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2017-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A6684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Maria, CA
- Alivio and Wellness Licensed Clinical Social Worker Group Inc.
- Kristin Joan Alkire I, MAC
- Allan Hancock College
- Breanna Alldredge-Alvarez
- Brittany Miller Allen
- Jay Allen, ADDICTIONS COUNSELOR
- Michael Wayne Allen
- Ryan Allen, DO
- Danica Rae Alley, R1530201023
- Marjorie Hutcherson Allomong, MSN, APRN, CPNP-PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.