S A ALLEN MD INC A MEDICAL CORPORATION (NPI# 1164698544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164698544 |
| Entity Type | Organization |
| Organization Name | S A ALLEN MD INC A MEDICAL CORPORATION |
| Practice Address |
79440 Corporate Center Dr #110 La Quinta CA 92253-7241 |
| Practice Telephone | 7605643533 |
| Mailing Telephone | 7605643533 |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2017-07-07 |
| Authorized Official Name | ARCIE LOPEZ (MEDICAL BILLING COORDINATOR) |
| Authorized Official Telephone | 7608631592 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
A064634 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
79440 CORPORATE CENTER DR #110 |
| City | LA QUINTA |
| State | CA |
| Zip Code | 92253-7241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346247012 | Charles Duane Knight | Chiropractor | 79440 Corporate Center Dr, Suite 108, La Quinta, CA 92253-7241 | 2005-07-07 |
| 1407353311 | Glynis Tan Del Rosario | Nurse Practitioner | 79440 Corporate Center Dr, La Quinta, CA 92253-7241 | 2018-04-07 |
| 1043724933 | Brandi Marie Teegarden | Nurse Practitioner | 79440 Corporate Center Dr, La Quinta, CA 92253-7241 | 2017-11-30 |
| 1073059689 | Regina Tongson | Nurse Practitioner | 79440 Corporate Center Dr, Suite 101, La Quinta, CA 92253-7241 | 2017-01-06 |
| 1356756761 | Desert Pain Specialists, Inc. | Durable Medical Equipment & Medical Supplies | 79440 Corporate Center Dr, Suite 110, La Quinta, CA 92253-7241 | 2014-06-24 |
| 1902241755 | Live Life Home Health LLC | Home Health | 79440 Corporate Center Dr, Suite 107, Office C, La Quinta, CA 92253-7241 | 2013-05-07 |
| 1508107335 | Marcey Gabrielle Utter | Speech-Language Pathologist | 79440 Corporate Center Dr, Suite 113, La Quinta, CA 92253-7241 | 2013-03-04 |
| 1619252020 | Hope Neurologic Center | Psychiatry & Neurology | 79440 Corporate Center Dr, Suite 108, La Quinta, CA 92253-7241 | 2011-10-17 |
| 1326270588 | R-c Urgent Care Family Practice Inc | Family Medicine | 79440 Corporate Center Dr, Suite 118, La Quinta, CA 92253-7241 | 2009-08-20 |
| 1992837652 | Alberto Rodriguez Cruz | Dentist | 79440 Corporate Center Dr, Suite 103, La Quinta, CA 92253-7241 | 2007-03-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073160677 | Mary-ellen O'neill | Technician | 81663 Brittlebuss. Ln., La Quinta, CA 92253 | 2019-08-20 |
| 1437621976 | Dental Corporation of Rodriguez Cruz Dds | Clinic/Center | 79440 Corporate Center Dr., #103, La Quinta, CA 92253 | 2018-12-21 |
| 1902383540 | Stephanie Le Asis | Optometrist | 47-474 Washington St., La Quinta, CA 92253 | 2018-07-26 |
| 1386139905 | Tarek Hussein | Dentist | 78595 Highway 111 Ste 300, La Quinta, CA 92253 | 2018-06-26 |
| 1083105431 | Sipan Keshishyan | Pharmacist | 44075 Jeffeson St, La Quinta, CA 92253 | 2018-05-22 |
| 1013432301 | Sasha Scofield | Physical Therapist | 78593 San Marino Ct, La Quinta, CA 92253 | 2017-08-07 |
| 1588102198 | Constant Care Inc | In Home Supportive Care | 51965 Avenida Obregon, La Quinta, CA 92253 | 2017-02-02 |
| 1457713877 | Vianey Rivera | Massage Therapist | 79440 Hwy 111 Suite 104, La Quinta, CA 92253 | 2016-03-24 |
| 1487032587 | Pediatric Physicians Group, Inc. | Pediatrics | 79-180 Corporate Centre Dr., Ste. 103, La Quinta, CA 92253 | 2015-05-11 |
| 1295158723 | Sneha Bhakta | Pharmacist | 79947 Parkway Esplanade N, La Quinta, CA 92253 | 2014-02-04 |
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| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831571934 | William Ward | Family Medicine | 45280 Seeley Dr, La Quinta, CA 92253 | 2015-06-24 |
| 1124414925 | Ernest Kim | Family Medicine | 45280 Seeley Dr, La Quinta, CA 92253 | 2015-04-09 |
| 1104250851 | Efren F Wu Md Inc | Family Medicine | 47647 Caleo Bay Dr Ste 130, La Quinta, CA 92253-8857 | 2013-08-29 |
| 1649289992 | Sam Yishang Lin | Family Medicine | 79430 Highway 111 Ste 101, La Quinta, CA 92253-4549 | 2006-08-05 |
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| 1124596010 | Cam Md | Family Medicine | 1968 S Coast Hwy # 401, Laguna Beach, CA 92651-3681 | 2018-11-08 |
| 1902289226 | Daesoon Leem | Family Medicine | 15095 Amargosa Rd, Bldg.1, #102, Victorville, CA 92394 | 2015-07-06 |
| 1114313616 | Michelle Sriwongtong | Family Medicine | 834 Castro St, 3, San Francisco, CA 94114-2858 | 2015-04-10 |
| 1225433006 | Harut Madatovian | Family Medicine | 2595 E Washington Blvd Ste 106, Pasadena, CA 91107-1409 | 2014-10-23 |
| 1760801880 | Kyle William Meyer | Family Medicine | 24910 Las Brisas Rd Ste 105, Murrieta, CA 92562 | 2014-04-16 |
| 1720403553 | Dianne Longo | Family Medicine | 1319 Evergreen Ave, Apt N2, Fullerton, CA 92835-2063 | 2014-03-03 |
| 1255760633 | Steven William Marles | Family Medicine | 4265 Tapestry Way, Turlock, CA 95382-7448 | 2013-11-05 |
| 1497098909 | Joshua David Sampson | Family Medicine | 2299 Post St Ste 107, San Francisco, CA 94115-3460 | 2013-04-03 |
| 1699015529 | Andrew Saleh | Family Medicine | 1370 Rosecrans St Ste A, San Diego, CA 92106-2676 | 2013-03-01 |
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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.