Healthcare Provider Details

I. General information

NPI: 1699091793
Provider Name (Legal Business Name): ALLISON TOWNSEND HAMPTON MD, MPP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALLISON TOWNSEND HAMPTON M.D., MPP

II. Dates (important events)

Enumeration Date: 04/14/2010
Last Update Date: 02/11/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 DELTA FAIR BLVD DEPARTMENT OF PEDIATRICS
ANTIOCH CA
94509-4004
US

IV. Provider business mailing address

3400 DELTA FAIR BLVD DEPARTMENT OF PEDIATRICS
ANTIOCH CA
94509-4004
US

V. Phone/Fax

Practice location:
  • Phone: 925-779-5126
  • Fax:
Mailing address:
  • Phone: 925-779-5126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number264231
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: