DR. JORGE ANIBAL ALLENDE JR. (NPI# 1619970068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619970068 |
| Entity Type | Individual |
| Full Name | DR. JORGE ANIBAL ALLENDE JR. |
| Credential | M.D. |
| Practice Address |
333 Laws Ave Ukiah CA 95482-6540 |
| Practice Telephone | 7074681010 |
| Practice Fax Number | 7074627532 |
| Mailing Telephone | 7074681010 |
| Mailing Fax Number | 7074627532 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207R00000X | Internal Medicine | C50896 | CA | Allopathic & Osteopathic Physicians |
| X | 208000000X | Pediatrics | C50896 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
333 LAWS AVE |
| City | UKIAH |
| State | CA |
| Zip Code | 95482-6540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386262921 | Juliann Elizabeth Joseph | Advanced Practice Midwife | 333 Laws Ave, Ukiah, CA 95482-6540 | 2020-07-09 |
| 1164077038 | Neha Sharma | Dentist | 333 Laws Ave, Ukiah, CA 95482-6540 | 2019-08-07 |
| 1053890905 | Liliane Robison | Nurse Practitioner | 333 Laws Ave, Ukiah, CA 95482-6540 | 2018-08-11 |
| 1508356221 | Stuart Christian Mauger | Dentist | 333 Laws Ave, Ukiah, CA 95482-6540 | 2018-05-17 |
| 1831689025 | Kathryn Marie Manchester | Registered Nurse | 333 Laws Ave, Ukiah, CA 95482 | 2018-05-14 |
| 1457855942 | Phuc Cong Tran | Dentist | 333 Laws Ave, Ukiah, CA 95482 | 2018-03-20 |
| 1730600859 | Yesica Jaimes Mendoza | Health Educator | 333 Laws Ave, Ukiah, CA 95482-6540 | 2017-06-28 |
| 1629503727 | Terese O'connell | Dietitian, Registered | 333 Laws Ave, Ukiah, CA 95482-6540 | 2017-04-26 |
| 1821520487 | Connie L Austin | Dentist | 333 Laws Ave, Ukiah, CA 95482-6540 | 2017-03-31 |
| 1306397674 | Rebecca Jean Johnson | Advanced Practice Midwife | 333 Laws Ave, Ukiah, CA 95482-6540 | 2016-10-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932726726 | Gloria Gonzalez Campise | Midwife | 205 W. Clay Street, Ukiah, CA 95482 | 2020-06-29 |
| 1083255095 | Mendocino Care Network | Internal Medicine | 1080 N State St, Ukiah, CA 95482 | 2019-10-01 |
| 1801383153 | Costco Wholesale Corporation | Pharmacy | 1275 Airport Park Blvd., Ukiah, CA 95482 | 2018-04-21 |
| 1922528256 | Ian David Winter | Case Manager/Care Coordinator | 1120 S. Dora St, Ukiah, CA 95482 | 2017-06-27 |
| 1568917938 | Rebecca Ann Dragomani | Nurse Practitioner | 260 Hospital Dr Ste 101, Ukiah, CA 95482 | 2016-08-16 |
| 1811362536 | Manzanita Services, Inc. | Community/Behavioral Health | 410 W. Jones St., Ukiah, CA 95482 | 2015-12-07 |
| 1689061061 | Pamela Mathias | Counselor | 367 East Gobbi Street, Suite E, Ukiah, CA 95482 | 2015-04-23 |
| 1275927030 | Jack David Segel | Counselor | 564 Dora St., Ste.d, Ukiah, CA 95482 | 2015-03-19 |
| 1689070211 | Mendocino County Youth Project | Clinic/Center | 347 Plum St, #b, Ukiah, CA 95482 | 2014-11-10 |
| 1346649951 | Ae Ran Ku | Dentist | 1096 South Dora Street, Ukiah, CA 95482 | 2014-08-19 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316101462 | Richard R Rattin | Internal Medicine | 240 Hospital Dr Ste B, Ukiah, CA 95482-4558 | 2008-07-17 |
| 1013000868 | Monita Yuen Green | Internal Medicine | 232 Hospital Dr, Suite A, Ukiah, CA 95482-4562 | 2006-10-02 |
| 1831174697 | Bernard Edgar Lemke | Internal Medicine | 242 Hospital Dr, Suite A, Ukiah, CA 95482-4556 | 2005-12-14 |
| 1285185991 | Adventist Health Physicians Network | Internal Medicine | 260 Hospital Dr, Suite 103, Ukiah, CA 95482-4568 | 2016-10-18 |
| 1891115564 | Anny T Wu | Internal Medicine | 260 Hospital Dr, Ukiah, CA 95482 | 2014-04-22 |
| 1831402619 | Sarah Fearing Alvord | Internal Medicine | 333 Laws Ave, Ukiah, CA 95482-6540 | 2010-07-21 |
| 1326250077 | Iyad Hanna | Internal Medicine | 260 Hospital Dr, Suite 103, Ukiah, CA 95482-4533 | 2007-05-04 |
| 1265524441 | Galen Inpatient Physician | Internal Medicine | 275 Hospital Dr, Ukiah, CA 95482-4531 | 2006-09-28 |
| 1144331463 | Linda Louise Mulligan | Internal Medicine | 630 Kings Ct, Ukiah, CA 95482-5023 | 2006-08-31 |
| 1013992452 | Guy Teran | Internal Medicine | 260 Hospital Dr, Ukiah, CA 95482-4533 | 2005-12-08 |
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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.