PATRICIA LYNN ALLEN (MD) – Diagnostic Radiology Physician, NPI 1124052600

Diagnostic Radiology Physician

PATRICIA LYNN ALLEN (MD) is a healthcare provider. based in San gabriel, California. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. G71645 (CA). The NPI Number for PATRICIA LYNN ALLEN (MD) is 1124052600

Main info

Female

37 Years Of Experience

Accepts Medicare Assignment

Name

PATRICIA LYNN ALLEN (MD)

NPI

1124052600

Phone

(626) 282-2802

Address

1129 S SAN GABRIEL BLVD

Enumeration Date

10 July 2006

Last Update Date

8 July 2007

Doctor Profile

Medical School Name

UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE

Secondary Phone

9495994630

Graduation Year

1989 (37 years ago)

PAC ID

4880605351

Group Practice PAC ID

0143311241

Professional Enrollment ID

I20060511000427

Address ID

CA926918574MI26522ALAM301

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

4,800 DIAGNOSTIC RADIOLOGY in CA

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Provider Addresses for PATRICIA LYNN ALLEN (MD)

1129, South San Gabriel Boulevard, San Gabriel, Los Angeles County, California, 91776, United States
SAN GABRIEL, CA 917763114
Phone: (626) 282-2802
Fax: (626) 282-2202
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-05-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20060511000427	I	Diagnostic Radiology	CA	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91776)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 0143311241View full group profile

Name	Specialty	State
DR. QUAZI ZUBAIR AL-TARIQ (M.D.)	Diagnostic Radiology	CA
BRUCE SCHWARTZ (M.D.)	-	CA
DR. MOHAMMAD TAGHI MASSOUDIAN (M.D.)	-	CA
NANCY S. KEROLES (MD)	Diagnostic Radiology	CA
DR. FERAAS JABI (M.D.)	Diagnostic Radiology	CA
MR. RANDY FANOUS (M.D)	Diagnostic Radiology	CA
NOUREDDIN NOURMOHAMMADI (MD)	Diagnostic Radiology	MD
MR. MARK ESENSTEN (MD)	-	CA
MR. ASHKON SENAATI (MD)	Diagnostic Radiology	AZ
RICHARD C SHIN (MD)	Diagnostic Radiology	CA

Reviews

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Frequently asked questions

What is the registry number for PATRICIA LYNN ALLEN (MD)?

The registry entry for PATRICIA LYNN ALLEN (MD) shows NPI 1124052600.

Should I treat PATRICIA LYNN ALLEN (MD) as an active provider?

Patients and plans typically see PATRICIA LYNN ALLEN (MD) as active in the national extract.

What does the directory say PATRICIA LYNN ALLEN (MD) does?

Insurance directories may phrase it differently, but here PATRICIA LYNN ALLEN (MD) maps to Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.

Is PATRICIA LYNN ALLEN (MD) tied to San Gabriel, California?

If you are local to San Gabriel, California, PATRICIA LYNN ALLEN (MD) may be relevant to your search.

Why is information missing for PATRICIA LYNN ALLEN (MD)?

Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.