DR. DEREK R ALLEN (NPI# 1679673446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679673446 |
| Entity Type | Individual |
| Full Name | DR. DEREK R ALLEN |
| Credential | M.D. |
| Practice Address |
320 Superior Ave Suite 370 Newport Beach CA 92663-2716 |
| Practice Telephone | 9496468836 |
| Practice Fax Number | 9496463789 |
| Mailing Telephone | 9496468836 |
| Mailing Fax Number | 9496463789 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2008-11-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
A21249 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN | AS155 | 01 |
| CA | STATE LICENSE# | A21249 | 01 |
| CA | OLD PTAN | A21249 | 01 |
| CA | DEA# | AA0264743 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790123719 | Derek Leon Allen | Counselor | 1361 S Swallow Ln, Gilbert, AZ 85296-9685 | 2013-06-12 |
| 1912547597 | Derek Ryan Allen | Nurse Anesthetist, Certified Registered | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2020-01-10 |
| Street Address |
320 SUPERIOR AVE SUITE 370 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92663-2716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235131384 | Anthony Bohan | Internal Medicine | 320 Superior Ave, #340, Newport Beach, CA 92663-2716 | 2005-08-10 |
| 1700337482 | Dr. Kabir Ahmed, Inc | Clinic/Center | 320 Superior Ave, Suite 210, Newport Beach, CA 92663-2716 | 2016-10-18 |
| 1295160414 | Layla Sadeghizadeh | Nutritionist | 320 Superior Ave, Suite 320, Newport Beach, CA 92663 | 2013-09-06 |
| 1952734048 | Karen Hendrickx | Physician Assistant | 320 Superior Ave, Suite 210, Newport Beach, CA 92663-2716 | 2013-08-13 |
| 1376899187 | Newport Beach Womens Wellness Center | Obstetrics & Gynecology | 320 Superior Ave, Suite 360, Newport Beach, CA 92663-2716 | 2012-07-30 |
| 1912262981 | Southern California Id Associates, Inc. | Internal Medicine | 320 Superior Ave, Suite 310, Newport Beach, CA 92663-2716 | 2012-07-05 |
| 1588936264 | Barry D. Steele M.d. A Professional Corporation | Surgery | 320 Superior Ave, Suite 190, Newport Beach, CA 92663-2716 | 2012-01-27 |
| 1376823971 | Kamaldeep Singh Chiropractic Inc | Chiropractor | 320 Superior Ave, Suite 350, Newport Beach, CA 92663-2716 | 2011-08-26 |
| 1356634794 | Charles W. Moniak, M.d. Inc | Obstetrics & Gynecology | 320 Superior Ave, Suite 230, Newport Beach, CA 92663-2716 | 2011-05-18 |
| 1881990752 | Swan Healthcare Incorporated | Family Medicine | 320 Superior Ave, Suite 110, Newport Beach, CA 92663-2716 | 2011-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851905483 | Oasis Anesthesia, Surgical and Medical Group, Inc | Anesthesiology | 496 Old Newpor Blvd., Suite 2, Newport Beach, CA 92663 | 2020-09-01 |
| 1699232801 | Megan Gregor | Surgery | One Hoag Dr., Bldg 41, Ste 122, Newport Beach, CA 92663 | 2019-02-24 |
| 1831621382 | Narges Maududi | Social Worker | 1965 Sherrington Place, K111, Newport Beach, CA 92663 | 2017-04-03 |
| 1225495153 | Mitchelle Giorgi | Physical Therapist | 351 Hospital Road, Suite 007, Newport Beach, CA 92663 | 2016-01-22 |
| 1043620057 | Leslie Mccormack | Speech-Language Pathologist | 270 Cagney Lane #101, Newport Beach, CA 92663 | 2014-04-29 |
| 1265867162 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 4504 Seashore Drive, Newport Beach, CA 92663 | 2013-09-10 |
| 1538504733 | Shawn Zardouz | Psychiatry & Neurology | 3900 W Coast Hwy Ste 390, Newport Beach, CA 92663 | 2013-05-02 |
| 1326330119 | Denise Fortenberry Fortenberry-gratias | Nurse Practitioner | 520 Superior Ave, Suite 350, Newport Beach, CA 92663 | 2011-05-11 |
| 1043500390 | Romit Kumar Kar | Pediatrics | 355 Placentia Ave Ste 301, Newport Beach, CA 92663 | 2011-04-07 |
| 1477858546 | Newport Neurohospitalists | Neurological Surgery | 510 Superior Ave Ste 280, Newport Beach, CA 92663 | 2011-01-20 |
| Find all providers in zip 92663 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235275587 | Lynn Minter Stanton | Family Medicine | 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446091 | Candace Maglinao | Family Medicine | 21010 Anza Ave Apt 12, Torrance, CA 90503-4254 | 2020-10-30 |
| 1942826797 | In-home Medical Mobile Services, Inc. | Family Medicine | 3400 E 8th St Ste 202, National City, CA 91950-3169 | 2020-06-17 |
| 1386269306 | Universal Mobile Doctors Inc | Family Medicine | 15333 Sherman Way Ste P, Van Nuys, CA 91406-4204 | 2020-06-16 |
| 1619597671 | Harry Eisenbach | Family Medicine | 9312 Smoketree Ln, Villa Park, CA 92861-1011 | 2020-04-20 |
| 1669092854 | Wellbeing Clinic Inc | Family Medicine | 1621 S New Hampshire Ave, Los Angeles, CA 90006-4513 | 2020-04-17 |
| 1619513611 | Krista Mckinney | Family Medicine | 344o E. La Palma Avenue, Anaheim, CA 92806 | 2019-11-25 |
| 1457995565 | Ucsf Medical Group Business Services | Family Medicine | 1100 Park Pl Ste 100, San Mateo, CA 94403-7119 | 2019-10-31 |
| 1780237313 | Charles Kim Md Inc | Family Medicine | 3055 W Orange Ave Ste 204, Anaheim, CA 92804-3154 | 2019-07-23 |
| 1083277206 | Baum 5 Star Healthcare | Family Medicine | 560 W Grangeville Blvd Ste A, Hanford, CA 93230-2858 | 2019-04-15 |
| 1477025278 | Connexus Family Clinic Inc | Family Medicine | 1930 E. Anaheim Street, N/a, Long Beach, CA 90813-3908 | 2018-12-19 |
| Find all providers with the same taxonomy | ||||
| City | NEWPORT BEACH |
| Zip Code | 92663 |
Please comment or provide details below to improve the information on DR. DEREK R ALLEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.