MATTHEW GENE ALLEN (NPI# 1770963589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770963589 |
| Entity Type | Individual |
| Full Name | MATTHEW GENE ALLEN |
| Credential | PA-C |
| Practice Address |
4002 Vista Way Oceanside CA 92056-4506 |
| Mailing Address |
5050 Avenida Encinas Suite 200 Carlsbad CA 92008-4381 |
| Practice Telephone | 7607248411 |
| Mailing Telephone | 7604391963 |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
52549 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIFORNIA STATE PHYSICIAN ASSISTANT LICENSE | 52549 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578925137 | Matthew Douglas Allen | Pediatrics | 41 E 1140 N Ste B, Saratoga Springs, UT 84045-5467 | 2016-03-23 |
| 1376927509 | Matthew Kyle Allen | Physical Therapy Assistant | 4621 Hwy 59 N, Grove, OK 74344 | 2015-07-17 |
| 1750635298 | Matthew Brandon Allen | Pharmacist | 515 Van Hill Rd, Greeneville, TN 37745 | 2012-11-06 |
| 1124297072 | Matthew Allen | Contractor | 121 E Marshall St, Richmond, VA 23219-1745 | 2008-02-25 |
| 1306064423 | Matthew Gordon Allen | Family Medicine | 331 South Highway 65, Mora, MN 55051 | 2007-04-23 |
| 1417031931 | Matthew D Allen | Chiropractor | 526 E Lakeview Rd, Stillwater, OK 74075-2825 | 2006-10-24 |
| 1083718696 | Matthew J Allen | Physical Therapist | 2000 W State St Ste F, Geneva, IL 60134 | 2006-09-12 |
| 1760036255 | Matthew Lamonte Allen Sr. | Marriage & Family Therapist | 12800 E Warren Ave, Detroit, MI 48215-2061 | 2019-08-01 |
| 1710440888 | Matthew Elliot Allen | Student in an Organized Health Care Education/Training Program | 1215 Lee St, Charlottesville, VA 22908-0816 | 2019-04-07 |
| 1316409493 | Matthew Allen | Counselor | 470 E 3rd St Ste A&b, Los Angeles, CA 90013-1629 | 2019-04-05 |
| Street Address |
4002 VISTA WAY |
| City | OCEANSIDE |
| State | CA |
| Zip Code | 92056-4506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790780997 | Bruce J Biederman | Radiology | 4002 Vista Way, Oceanside, CA 92056-4506 | 2005-06-15 |
| 1629686241 | Antony and Paul Healthcare, Inc | Internal Medicine | 4002 Vista Way, Oceanside, CA 92056-4506 | 2020-07-20 |
| 1780200204 | Avalon Scopellite | Speech-Language Pathologist | 4002 Vista Way, Oceanside, CA 92056-4506 | 2020-06-20 |
| 1457919367 | Michelle Mccaslin | Speech-Language Pathologist | 4002 Vista Way, Oceanside, CA 92056-4506 | 2019-06-05 |
| 1467926295 | Michael Demasco | Emergency Medicine | 4002 Vista Way, Oceanside, CA 92056-4506 | 2019-01-15 |
| 1083198238 | Christopher Roy Smith Carman | Counselor | 4002 Vista Way, Oceanside, CA 92056-4506 | 2018-09-23 |
| 1033697669 | Hospitalist Medicine Physicians of California - Oceanside | Internal Medicine | 4002 Vista Way, Oceanside, CA 92056-4506 | 2018-08-06 |
| 1750879714 | Patricia Matthews | Dietitian, Registered | 4002 Vista Way, Oceanside, CA 92056-4506 | 2018-04-25 |
| 1942707898 | Andrew Fischer Md LLC | Emergency Medicine | 4002 Vista Way, Oceanside, CA 92056-4506 | 2018-04-08 |
| 1316447246 | Vuong Nguyen | Dietitian, Registered | 4002 Vista Way, Oceanside, CA 92056-4506 | 2018-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174148639 | Universal Health Net San Diego | Hospice Care, Community Based | 4155 Oceanside Blvd, Suite 240, Oceanside, CA 92056 | 2020-06-10 |
| 1750913216 | Jared Pomerenke | Counselor | 3923 Warning Rd., Suite D, Oceanside, CA 92056 | 2020-02-12 |
| 1700424728 | Donna Jean Trapolino | Dental Hygienist | Bldg414006 Nelson Rd, Camp Pendleton, CA 92056 | 2019-12-20 |
| 1679122717 | David King Ping | Registered Nurse | 3609 Ocean Ranch Blvd Street 104, Oceanside, CA 92056 | 2019-09-11 |
| 1396254058 | Alison Schurman | Nurse Practitioner | 200 Mercy Circle Dr, Department of Pediatrics, Oceanside, CA 92056 | 2017-09-26 |
| 1407212665 | Yolanda Orozco Gaeta | Marriage & Family Therapist | 3923 Waring Road Ste D, North Coastal Treatment Recovery Center, Oceanside, CA 92056 | 2016-01-04 |
| 1871982751 | Wael Wassef | Pharmacist | 4755 Oceanside Blvd Ste 130, Oceanside, CA 92056 | 2015-01-15 |
| 1639501869 | William Stacy Parks | Family Medicine | 2376 Back Nine St., Oceanside, CA 92056 | 2013-07-30 |
| 1760725766 | Great Expectations Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4825 Glenhaven Drive, Oceanside, CA 92056 | 2013-03-28 |
| 1649533993 | Justin Bowles | Family Medicine | 1761 Avenida Segovia, Oceanside, CA 92056 | 2012-06-21 |
| Find all providers in zip 92056 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184273617 | Chelsea Marie Ellingson | Physician Assistant | 3142 Vista Way Ste 401, Oceanside, CA 92056-3619 | 2019-09-07 |
| 1164846747 | Stephen F Funk | Physician Assistant | 3037 David Ct, Oceanside, NY 11572-4415 | 2014-02-18 |
| 1205026861 | Kelly T. Sales | Physician Assistant | 3230 Waring Ct Ste J, Oceanside, CA 92056-4509 | 2007-07-30 |
| 1346306123 | Susan Radoff | Physician Assistant | 3910 Vista Way Ste 106, Oceanside, CA 92056-4513 | 2006-12-28 |
| 1326076043 | Michelle F. Buxton | Physician Assistant | 4318 Mission Ave, Oceanside, CA 92057-6541 | 2006-06-29 |
| 1831135409 | Don Juan Ortiz | Physician Assistant | 465 College Blvd., Ste. 1, Oceanside, CA 92057 | 2006-06-21 |
| 1518953660 | Robin M. Waggoner | Physician Assistant | 3142 Vista Way, Suite 100, Oceanside, CA 92056-3627 | 2005-09-23 |
| 1194223834 | Waqas Ali | Physician Assistant | 1 Healthy Way, Oceanside, NY 11572-1551 | 2018-01-29 |
| 1316465214 | Alyson Wentworth | Physician Assistant | 200 Mercy Circle, Oceanside, CA 92055 | 2017-08-31 |
| 1972027092 | Shanelle Tashae Graham | Physician Assistant | 1 Healthy Way, Oceanside, NY 11572-1551 | 2017-07-31 |
| Find all providers in OCEANSIDE | ||||
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| 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.