S A ALLEN MD INC A MEDICAL CORPORATION
NPI 1164698544
Family Medicine - Sports Medicine in La Quinta, CA

Active since May 05, 2008
79440 CORPORATE CENTER DR, #110, LA QUINTA, CA 92253(760) 564-3533 Get Directions Write a Review

NPPES record last updated: July 7, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About S A Allen Md Inc A Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

S A ALLEN MD INC A MEDICAL CORPORATION (NPI 1164698544) is a healthcare organization registered as a sports medicine in La Quinta, California and active in the NPI registry since May 2008. The organization lists Arcie Lopez, Medical Billing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1164698544
Entity TypeOrganization
Primary Taxonomy207QS0010X
Legal Business NameS A ALLEN MD INC A MEDICAL CORPORATION
Location Address79440 CORPORATE CENTER DR, #110La Quinta, CA 92253-7241
Mailing Address79440 Corporate Center Dr, #110La Quinta, CA 92253-7241 · (760) 564-3533
Organization SubpartNo
Authorized OfficialArcie LopezMedical Billing Coordinator · (760) 863-1592
Enumeration DateMay 5, 2008
Last NPPES UpdateJuly 7, 2017
✔ NPI 1164698544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in CA · A064634
Definition
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.
79440 CORPORATE CENTER DR, La Quinta, CA 92253

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

S A Allen Md Inc A Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to S A Allen MD Inc A Medical Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

General Practice
NPI 1598774846
79430 HIGHWAY 111 SUITE 101
La Quinta, CA 92253
(760) 564-3533
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is S A Allen MD Inc A Medical Corporation's NPI number?

The NPI number for S A Allen MD Inc A Medical Corporation is 1164698544. It was assigned to this organization in the NPPES registry on May 5, 2008.

Where is S A Allen MD Inc A Medical Corporation located?

S A Allen MD Inc A Medical Corporation is located at 79440 Corporate Center Dr #110, La Quinta, CA 92253. The listed phone number is (760) 564-3533.

What is S A Allen MD Inc A Medical Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is S A Allen MD Inc A Medical Corporation enrolled in Medicare?

Yes. S A Allen MD Inc A Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through S A Allen MD Inc A Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to S A Allen MD Inc A Medical Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for S A Allen MD Inc A Medical Corporation was last updated on July 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.