ALVIN WALTER ANNEN MD
NPI 1699286468
Surgery - Plastic and Reconstructive Surgery in Palo Alto, CA

Active since October 19, 2017PECOS EnrolledAccepts Medicare Assignment
300 PASTEUR DR, PALO ALTO, CA 94305(650) 723-4000 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 10, 2019, Oct 19, 2017 (2 updates tracked since 2017).

About Alvin Walter Annen Md NPPES

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

ALVIN WALTER ANNEN MD (NPI 1699286468) is an individual plastic and reconstructive surgery provider in Palo Alto, California, licensed in California (A202598) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Oregon Health Sciences University School Of Medicine (2019).

NPPES Registry Identity

NPI1699286468
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameALVIN WALTER ANNENCredential: MD
Location Address300 PASTEUR DRPalo Alto, CA 94305-2200
Mailing Address300 Pasteur DrPalo Alto, CA 94305-2200 · (650) 723-4000
Sole ProprietorYes
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2019
Enumeration DateOctober 19, 2017
Last NPPES UpdateAugust 1, 20252 updates tracked since enumeration
NPPES CertifiedAugust 1, 2025
NPI 1699286468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Licenses Licensed in CA · A202598 Licensed in OR · PG193909
Definition

A surgeon who specializes in plastic and reconstructive surgery.

300 PASTEUR DR, Palo Alto, CA 94305

Secondary Practice Location 1

Location 13181 SW Sam Jackson Park RdPortland, OR 97239-3011 · Phone (503) 494-8311

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, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Alvin Walter Annen Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537498225
PECOS Enrollment IDI20250618002889
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
300 PASTEUR DR, H3200, M/C 5230
PALO ALTO, CA 94305
Anesthesiology
300 PASTEUR DR
STANFORD, CA 94305
Obstetrics & Gynecology
300 PASTEUR DR
STANFORD, CA 94305
Obstetrics & Gynecology
300 PASTEUR DR
STANFORD, CA 94305
Nurse Practitioner
300 PASTEUR DR, SUMC - PEDS PHYSICIAN BILLING MC:5530
PALO ALTO, CA 94305
Anesthesiology
300 PASTEUR DR
STANFORD, CA 94305
Internal Medicine (Endocrinology, Diabetes & Metabolism)
300 PASTEUR DR
STANFORD, CA 94305
Psychiatry & Neurology (Psychiatry)
300 PASTEUR DR
STANFORD, CA 94305
Internal Medicine (Pulmonary Disease)
300 PASTEUR DR
STANFORD, CA 94305
Pathology (Anatomic Pathology)
300 PASTEUR DR
STANFORD, CA 94305
Ophthalmology
300 PASTEUR DR
STANFORD, CA 94305
Internal Medicine (Cardiovascular Disease)
300 PASTEUR DR
STANFORD, CA 94305
Dermatology
300 PASTEUR DR
STANFORD, CA 94305
Emergency Medicine
300 PASTEUR DR
STANFORD, CA 94305
Internal Medicine (Gastroenterology)
300 PASTEUR DR
STANFORD, CA 94305
Internal Medicine (Hematology & Oncology)
300 PASTEUR DR
STANFORD, CA 94305
Internal Medicine (Allergy & Immunology)
300 PASTEUR DR
STANFORD, CA 94305
Internal Medicine (Infectious Disease)
300 PASTEUR DR
STANFORD, CA 94305
Radiology (Radiation Oncology)
300 PASTEUR DR
STANFORD, CA 94305
Internal Medicine
300 PASTEUR DR
STANFORD, CA 94305

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699286468, enumerated as an "individual" on October 19, 2017.

The provider is located at 300 PASTEUR DR PALO ALTO, CA 94305 and the phone number is (650) 723-4000.

Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.