1. Home
  2. Directory
  3. California
  4. Santa Monica
  5. Nurse Practitioner
  6. NPI Profile

ALLEN R KUBKO FNP-C
NPI 1780550624
Nurse Practitioner - Family in Santa Monica, CA

Active since October 16, 2025PECOS EnrolledAccepts Medicare Assignment
2021 SANTA MONICA BLVD STE 424E, SANTA MONICA, CA 90404(310) 590-7020(310) 310-2724 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Allen R Kubko Fnp-c NPPES

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

ALLEN R KUBKO FNP-C (NPI 1780550624) is an individual family provider in Santa Monica, California, licensed in California (95032650) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1780550624
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameALLEN R KUBKOCredential: FNP-C
Location Address2021 SANTA MONICA BLVD STE 424ESanta Monica, CA 90404-2151
Mailing Address2021 Santa Monica Blvd Ste 424eSanta Monica, CA 90404-2151 · (310) 590-7020 · Fax (310) 310-2724
Phone(310) 590-7020
Fax(310) 310-2724
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 16, 2025
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedOctober 16, 2025
✔ NPI 1780550624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95032650
2021 SANTA MONICA BLVD STE 424E, Santa Monica, CA 90404
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Allen R Kubko Fnp-c 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 ID9234616178
PECOS Enrollment IDI20260319003507
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.

Medicare Billing Reassignment

Medicare enrollment records show Allen Kubko reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dennis Stolpner MD Inc
7.0 mi
General Practice
6221 WILSHIRE BLVD STE 504
Los Angeles, CA 90048
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1417638768 (323) 965-9995

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Allen Kubko's NPI number?

The NPI number for Allen Kubko is 1780550624. It was assigned to this individual provider in the NPPES registry on October 16, 2025.

Where is Allen Kubko located?

Allen Kubko practices at 2021 Santa Monica Blvd Ste 424E, Santa Monica, CA 90404. The listed phone number is (310) 590-7020.

What is Allen Kubko's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Allen Kubko enrolled in Medicare?

Yes. Allen Kubko is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Allen Kubko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Allen Kubko reassigns Medicare benefits to Dennis Stolpner MD Inc (Los Angeles, CA). The 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 Allen Kubko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Allen Kubko was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.