BAZ ALLERGY ASTHMA & SINUS CENTER NPI 1205208675

NPI Information

  • NPI: 1205208675
  • Provider Name: BAZ ALLERGY, ASTHMA & SINUS CENTER
  • Classification: Allergy & Immunology - 207KA0200X
  • Specialization: Allergy
  • Entity Type: Organization
  • CLIA Number: 05D2201782
  • Address: 1860 MOWRY AVE STE 400
    FREMONT, CA
    ZIP 94538
  • Phone: (510) 894-0051

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NPI Details

BAZ ALLERGY, ASTHMA & SINUS CENTER is an allergy allergy immunology in Fremont, CA. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee BAZ ALLERGY, ASTHMA & SINUS CENTER NPI is 1205208675. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1860 MOWRY AVE STE 400
FREMONT, CA
ZIP 94538-730
Phone: (510) 894-0051
Fax: (510) 894-1578

The provider's authorized official is Malik Nasir Baz .
The authorized official title is Cfo/vice President and has the following contact phone number (559) 436-4500.

The CLIA number assigned to this NPI record is 05D2201782 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2015 and was last updated on 6/10/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207KA0200XAllergy & ImmunologyAllergyA35393CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GR0043790MEDICAIDCALIFORNIA
2ZZZ21572ZOTHERCALIFORNIAGRP MCARE PTAN FOR BAZ ALLERGY, ASTHMA & SINUS CENTER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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