=====================================================
General NPI Number Information
=====================================================
NPI Number | 1992625313
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | PAULA ALLEN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/16/2026
-----------------------------------------------------
Last Update Date | 07/16/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6642 BIRNAM ST
-----------------------------------------------------
City | RIO LINDA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95673-3209
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 760-475-0706
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6642 BIRNAM ST
-----------------------------------------------------
City | RIO LINDA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95673-3209
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 760-475-0706
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number | A6430356
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------